Provider Demographics
NPI:1134169055
Name:ROBINSON, LORI HEISER (PT)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:HEISER
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:JANE
Other - Last Name:HEISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23811 CHAGRIN BLVD.
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5555
Mailing Address - Country:US
Mailing Address - Phone:216-682-0413
Mailing Address - Fax:216-682-0417
Practice Address - Street 1:23811 CHAGRIN BLVD.
Practice Address - Street 2:SUITE 120
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5555
Practice Address - Country:US
Practice Address - Phone:216-682-0413
Practice Address - Fax:216-682-0417
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0074042251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH341907722OtherUNITED HEALTHCARE
OH34190772200OtherWORKERS COMPENSATION
OH000000375601OtherANTHEM
OH341907722OtherUNITED HEALTHCARE