Active NPI
Gary F. Lohse, M.S.P.T.
- Orthopedic Physical Therapist
- Vero Beach, FL
National Provider Identifier
1902120348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT 22248
- Practice address
- 8876 105TH Ave
Vero Beach, FL 32967-3251 - Phone
- (772) 224-6612
- NPI assigned
- Mar 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT 22248 | FL | |
| Geriatric Physical Therapist | 2251G0304X | 026828 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | PT 22248 | FL | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 026828 | NY |
Addresses
Primary practice location
8876 105TH Ave
Vero Beach, FL 32967-3251
Mailing address
8876 105TH Ave
Vero Beach, FL 32967-3251
Phone (772) 224-6612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210617001304 | FL | Practitioner - Physical Therapist in Private Practice | 1254731946 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 81.73
- Improvement activities
- 40
- Cost
- 74.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 22248 | FL | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longevity Rehabilitation Center Inc | Geriatrics | Current | Accepting new patients |
Locations
1515 Indian River Blvd
Ste A135
Vero Beach, FL 32960
Phone (772) 978-9750
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 Therapy Clinic/Center
- Vero Beach, FL
- NPI 1215096383
FL, Geriatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1902120348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8876 105TH AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329673251",
"telephone_number": "772-224-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8876 105TH AVE",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329673251",
"telephone_number": "772-224-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOHSE",
"first_name": "GARY",
"middle_name": "F.",
"credential": "M.S.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-14",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "FL",
"license": "PT 22248",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "026828",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT 22248",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "026828",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.