Active NPI
Lori M Richardson, PT
- Physical Therapist
- Key Largo, FL
National Provider Identifier
1891983342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3855
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6607106 | Other | GHI | |
| Y916B | Other | FL | BLUE SHIELD |
| 7559289 | Other | AETNA |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Plus by the Sea LLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Lauderdale by the Sea, FL
- NPI 1003126269
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.