Provider Demographics
NPI:1972653228
Name:MONSON, LORI (PT, OCS)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:MONSON
Suffix:
Gender:F
Credentials:PT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W 57TH ST
Mailing Address - Street 2:SUITE 1301
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10107-0001
Mailing Address - Country:US
Mailing Address - Phone:212-496-1187
Mailing Address - Fax:212-496-8196
Practice Address - Street 1:250 W 57TH ST
Practice Address - Street 2:SUITE 1301
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10107-0001
Practice Address - Country:US
Practice Address - Phone:212-496-1187
Practice Address - Fax:212-496-8196
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYANC1497OtherOXFORD HEALTH PLANS
NYQ52261OtherEMPIRE BCBS
NYANC1497OtherOXFORD HEALTH PLANS