Individual provider Active NPI

Lori Hamann, P.T.

  • Physical Therapist
  • Jacksonville Beach, FL
National Provider Identifier
1912092776
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21508 Issued in FL
Practice address
504 Osceola Ave
Jacksonville Beach, FL 32250-4030
Phone
(904) 249-8865
Fax
(904) 853-5592
NPI assigned
Oct 4, 2006
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21508 FL Primary
Physical Therapist 225100000X PT008055 GA
Physical Therapist 225100000X 6281 CO

Addresses

Primary practice location

504 Osceola Ave
Jacksonville Beach, FL 32250-4030

Mailing address

504 Osceola Ave
Jacksonville Beach, FL 32250-4030
Phone (904) 249-8865

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

State licenses

LicenseStateTypeSpecialty
6281COMDPhysical Therapist
21508FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center Imt Jacksonville FL, P.a. Physical Therapist Past Accepting new patients
Leger Therapy Services Inc. PastSince Nov 12, 2018 Accepting new patients

Organizations & group practices 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1912092776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 OSCEOLA AVE",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504030",
            "telephone_number": "904-249-8865",
            "fax_number": "904-853-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 OSCEOLA AVE",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504030",
            "telephone_number": "904-249-8865",
            "fax_number": "904-853-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMANN",
        "first_name": "LORI",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "21508",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008055",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.