Active NPI
Lorelie Vicente
- Physical Therapist
- Salem, OR
National Provider Identifier
1851716260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6746
- Practice address
- 3760 Market St NE
PMB 485
Salem, OR 97301-1826 - Phone
- (541) 361-0335
- NPI assigned
- Feb 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 6746 | OR | Primary |
Addresses
Primary practice location
3760 Market St NE
PMB 485
Salem, OR 97301-1826
Mailing address
3760 Market St NE
PMB 485
Salem, OR 97301-1826
Phone (541) 361-0335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3570484 | Other | OR | DRIVER'S LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6746 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1851716260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3760 MARKET ST NE",
"address_2": "PMB 485",
"city": "SALEM",
"state": "OR",
"postal_code": "973011826",
"telephone_number": "541-361-0335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3760 MARKET ST NE",
"address_2": "PMB 485",
"city": "SALEM",
"state": "OR",
"postal_code": "973011826",
"telephone_number": "541-361-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICENTE",
"first_name": "LORELIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-21",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "3570484",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
- Danna Vermeer
- Gary Veteto, PSS
- Audrey Vetter
- Vibrance Physical Therapy LLC
- Vibrant Vision and Optical, Inc. (Vibrant Vision and Optical)
- Vicki L Seller,M.D.,P.C.
- Vickie Haneberg Ma LPC LLC
- Vida Family Medicine (Vida Integrative Medicine & Mental Health)
- Vida Family Medicine, LLC (Vida Integrative Medicine & Mental Health)
- Jacob Thomas Vida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.