Active NPI
Lori Ann Imler, PT
- Physical Therapist
- Claysburg, PA
National Provider Identifier
1821139304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007755L
- Practice address
- 413 Metzgar LN
Claysburg, PA 16625-8213 - Phone
- (717) 636-2385
- Fax
- (814) 643-9231
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007755L | PA | Primary |
Addresses
Primary practice location
413 Metzgar LN
Claysburg, PA 16625-8213
Mailing address
413 Metzgar LN
Claysburg, PA 16625-8213
Phone (717) 636-2385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DU976549 | Other | PA | HIGHMARK BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1122 Hwy 315 Blvd
Wilkes Barre, PA 18702-6943
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007755L | PA | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1821139304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 METZGAR LN",
"city": "CLAYSBURG",
"state": "PA",
"postal_code": "166258213",
"telephone_number": "717-636-2385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 METZGAR LN",
"city": "CLAYSBURG",
"state": "PA",
"postal_code": "166258213",
"telephone_number": "717-636-2385",
"fax_number": "814-643-9231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMLER",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007755L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC BS",
"identifier": "DU976549",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.