Individual provider Active NPI

Lorie Anne Agbayani Acacio-Rodriguera

  • Physical Therapist
  • Milford, DE
National Provider Identifier
1891931994
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0002303 Issued in DE
Practice address
907 N Dupont Blvd Ste 104
Milford, DE 19963-1060
Phone
(302) 444-8318
Fax
(302) 422-2768
NPI assigned
Dec 20, 2008
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 J1-0002303 DE Primary

Addresses

Primary practice location

907 N Dupont Blvd Ste 104
Milford, DE 19963-1060

Mailing address

907 N Dupont Blvd Ste 104
Milford, DE 19963-1060
Phone (302) 444-8318

Other names 1

  • Lorie Anne Agbayani Acacio Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301001852 DE Practitioner - Physical Therapist in Private Practice 8820359136 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Works de, LLCGroup PAC ID 4082095625, 2 clinicians

Practice addresses (Care Compare)

907 N Dupont Blvd
Suite 104
Milford, DE 19963-1060
Phone (302) 422-2518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Physical Therapy, LLC Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Aging in Place Specialists Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
PT Works de, LLC Physical Therapist CurrentSince Jun 10, 2022 Accepting new patients
Southern Delaware Sports Care and Rehabilitation, LLC Physical Therapist PastSince May 1, 2021 Accepting new patients

Locations

404 E Front St
Laurel, DE 19956
Phone (302) 280-6920

907 N DuPont Blvd
Ste 104
Milford, DE 19963
Phone (302) 422-2518

24488 Sussex Hwy
Ste 2
Seaford, DE 19973
Phone (302) 629-4299

701 Foulk Rd
Ste 2A
Wilmington, DE 19803

Organizations & group practices 5

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": "1229731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1891931994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N DUPONT BLVD STE 104",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631060",
            "telephone_number": "302-444-8318",
            "fax_number": "302-422-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N DUPONT BLVD STE 104",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631060",
            "telephone_number": "302-444-8318",
            "fax_number": "302-422-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACACIO-RODRIGUERA",
        "first_name": "LORIE ANNE",
        "middle_name": "AGBAYANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-20",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORIE ANNE",
            "last_name": "ACACIO",
            "middle_name": "AGBAYANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.