Individual provider Active NPI

Lori Ann Imler, PT

  • Physical Therapist
  • Claysburg, PA
National Provider Identifier
1821139304
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007755L Issued in PA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DU976549OtherPAHIGHMARK BC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521003017 PA Practitioner - Physical Therapist in Private Practice 7012487838 Reassigns benefits to 1 organization

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
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

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

LicenseStateTypeSpecialty
PT007755LPAMDPhysical 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.

Verify at the official NPI Registry.