Active NPI
Lori Jandreau
- Physical Therapist
- Newport, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5002
- Practice address
- 4 Main St Unit T-2
Newport, ME 04953-4156 - Phone
- (207) 924-0077
- Fax
- (207) 924-0078
- NPI assigned
- Dec 12, 2014
- Last updated
- Jan 14, 2026
- Sex
- Female
- Sole proprietor
- No
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 | PT5002 | ME | Primary |
Addresses
Primary practice location
4 Main St Unit T-2
Newport, ME 04953-4156
Mailing address
625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000
Other names 1
- Lori Merrow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 Main St
Unit T 2
Newport, ME 04953-4156
Phone (207) 924-0077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5002 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1008 W Main St
Dover Foxcroft, ME 04426
Phone (207) 564-8710
94 Main St
Gorham, ME 04038
Phone (207) 839-5225
4 Main St
Unit T2
Newport, ME 04953
Phone (207) 924-0077
120 Elm Plz
Waterville, ME 04901
Phone (207) 707-4789
625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Gorham, ME
- NPI 1821165960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1982002564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 KENMOOR AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462395",
"telephone_number": "616-356-5000",
"fax_number": "616-356-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MAIN ST UNIT T-2",
"city": "NEWPORT",
"state": "ME",
"postal_code": "049534156",
"telephone_number": "207-924-0077",
"fax_number": "207-924-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANDREAU",
"first_name": "LORI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-12",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT5002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "MERROW",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newport, ME
- Hannaford Bros Co LLC (Hannaford Supermarket & Pharmacy)
- Nancy Hart, LPN
- Stacey M Hatch, PHARMD
- April Hertlein, APRN-CNP
- Ben Thomas Hieronymus Jr., ARNPC
- John L. Toothaker, DPM PA
- Nicole Marie Johnston, CPM
- Jones Eye Associates, PA (Newport Eye Care)
- Jones Eye Association, PA (Newport Eye Care)
- Jones Eye Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.