Provider Demographics
NPI:1659485068
Name:CATE, LORI CHRISTINE (MPT)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:CHRISTINE
Last Name:CATE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:RIEGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:P.O. BOX 13269
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-3269
Mailing Address - Country:US
Mailing Address - Phone:850-219-1520
Mailing Address - Fax:850-219-1521
Practice Address - Street 1:2887 CRAWFORDVILLE HWY.
Practice Address - Street 2:UNIT 3
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327
Practice Address - Country:US
Practice Address - Phone:850-926-8555
Practice Address - Fax:850-926-2402
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4288225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000062200Medicaid
FL11991102OtherCAQH
AL51537348OtherBLUE CROSS BLUE SHIELD AL
FL000062200Medicaid