Individual provider Active NPI

Lorelie Joanne Pasamonte Sitangang, DPT

  • Physical Therapist
  • Chico, CA
National Provider Identifier
1902383466
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25498 Issued in CA
Practice address
1806 Foundation Lane
Chico, CA 95928
Phone
(530) 891-3338
Fax
(530) 594-5771
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 25498 CA Primary

Addresses

Primary practice location

1806 Foundation Lane
Chico, CA 95928

Mailing address

1806 Foundation Lane
Chico, CA 95928
Phone (530) 891-3338

Other names 1

  • Lorelie Joanne Pasamonte Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009002775 CA Practitioner - Physical Therapist in Private Practice 9739431313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstate Foot and Ankle Specialist IncGroup PAC ID 3870840812, 7 clinicians

Practice addresses (Care Compare)

1806 Foundation LN
Chico, CA 95928-9206
Phone (530) 891-3338

Merit-based Incentive Payment System (MIPS)

Final score
83.08 of 100Reported as group
Quality
68.31
Promoting interoperability
100
Improvement activities
40
Cost
75.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northstate Foot & Ankle Specialist Inc CurrentSince Aug 6, 2018 Accepting new patients
Northstate Foot & Ankle Specialist Inc CurrentSince Aug 6, 2018 Accepting new patients

Locations

1806 Foundation Ln
Chico, CA 95928
Phone (530) 891-3338

2216 Buenaventura Blvd
Ste A
Redding, CA 96001
Phone (530) 221-1666

Interoperability endpoints

  • Direct secure messaging: lorelie.sitanggang.1@17799.direct.athenahealth.com

Organizations & group practices 2

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1902383466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 FOUNDATION LANE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95928",
            "telephone_number": "530-891-3338",
            "fax_number": "530-594-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 FOUNDATION LANE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95928",
            "telephone_number": "530-891-3338",
            "fax_number": "530-594-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASAMONTE SITANGANG",
        "first_name": "LORELIE",
        "middle_name": "JOANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORELIE",
            "last_name": "PASAMONTE",
            "middle_name": "JOANNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.