Active NPI
Lorie Makrush
- Physical Therapist
- Naples, FL
National Provider Identifier
1992960884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29105
- Practice address
- 6825 Davis Blvd
Naples, FL 34104 - Phone
- (239) 455-1459
- NPI assigned
- Jul 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-1773 | ID | |
| Physical Therapist | 225100000X | PT29105 | FL | Primary |
Addresses
Primary practice location
6825 Davis Blvd
Naples, FL 34104
Mailing address
25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Other practice location 1
1952 E 7000 S
Salt Lake City, UT 84121-6877
Phone (801) 942-3311 ext. 127
Other practice location 2
1952 E 7000 S
Salt Lake City, UT 84121-6877
Phone (801) 942-3311 ext. 127
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT29105 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1992960884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE STE D",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6825 DAVIS BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "34104",
"telephone_number": "239-455-1459"
}
],
"practiceLocations": [
{
"address_1": "1952 E 7000 S",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841216877",
"country_code": "US",
"telephone_number": "801-942-3311 x127",
"fax_number": "801-495-5303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1952 E 7000 S",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841216877",
"country_code": "US",
"telephone_number": "801-942-3311 x127",
"fax_number": "801-495-5303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKRUSH",
"first_name": "LORIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-1773",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT29105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.