Active NPI
Lori Simmons Madiara, PT DPT
- Physical Therapist
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001016E
- Practice address
- 451 Chow St
Smolczynski Physical Therapy Associates
Allentown, PA 18102 - Phone
- (610) 432-7733
- Fax
- (610) 432-7951
- NPI assigned
- Jan 24, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT001016E | PA | Primary |
| Physical Therapist | 225100000X | DAPT 000632 | PA |
Addresses
Primary practice location
451 Chow St
Smolczynski Physical Therapy Associates
Allentown, PA 18102
Mailing address
1515 Spring Valley Rd
Bethlehem, PA 18015
Phone (610) 737-7072
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01128601 | Other | PA | CAPITAL BC |
| MA707038 | Other | PA | HIGHMARK BS |
| 000634 (M2Y) | Other | PA | MEDICARE CERTIFICATION |
Other names 1
- Ms. Lori Beth Simmons
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, 2005
- 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
470 N Lewis Rd
Bon Homie LTD Adult Day Center
Limerick, PA 19468-1511
Phone (610) 792-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DAPT 000632 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Physical Therapist | Current | Accepting new patients |
| CK PT Balance Center LLC | Physical Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
1146 S Cedar Crest Blvd
Ste 101
Allentown, PA 18103
Phone (610) 477-2020
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Allentown, PA
- NPI 1801570015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1851578645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SPRING VALLEY RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "18015",
"telephone_number": "610-737-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 CHOW ST",
"address_2": "SMOLCZYNSKI PHYSICAL THERAPY ASSOCIATES",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18102",
"telephone_number": "610-432-7733",
"fax_number": "610-432-7951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADIARA",
"first_name": "LORI",
"middle_name": "SIMMONS",
"name_prefix": "Ms.",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT001016E",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "DAPT 000632",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BC",
"identifier": "01128601",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "MA707038",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE CERTIFICATION",
"identifier": "000634 (M2Y)",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "SIMMONS",
"middle_name": "BETH",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.