Individual provider Active NPI

Lori M Richardson, PT

  • Physical Therapist
  • Key Largo, FL
National Provider Identifier
1891983342
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3855 Issued in FL
Practice address
103400 Overseas Hwy
Suite 111
Key Largo, FL 33037-2834
Phone
(954) 785-4776
Fax
(954) 785-9789
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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 PT3855 FL Primary

Addresses

Primary practice location

103400 Overseas Hwy
Suite 111
Key Largo, FL 33037-2834

Mailing address

103400 Overseas Hwy
Suite 111
Key Largo, FL 33037-2834
Phone (954) 785-4776

Other identifiers 3

IdentifierTypeStateIssuer
6607106OtherGHI
Y916BOtherFLBLUE SHIELD
7559289OtherAETNA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Plus by the Sea LLC Physical Therapist PastSince Apr 29, 2012 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1891983342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY",
            "address_2": "SUITE 111",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372834",
            "telephone_number": "954-785-4776",
            "fax_number": "954-785-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103400 OVERSEAS HWY",
            "address_2": "SUITE 111",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372834",
            "telephone_number": "954-785-4776",
            "fax_number": "954-785-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LORI",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT3855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6607106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "Y916B",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7559289",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.