LORI LYNN ROELOFS MPT
NPI 1700197886
Physical Therapist - Pediatrics in Lake Forest, CA

Active since June 23, 2010Accepts Medicare Assignment
20902 BAKE PKWY, SUITE 100, LAKE FOREST, CA 92630(949) 600-5437(949) 600-5439 Get Directions Write a Review

NPPES record last updated: October 16, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lori Lynn Roelofs Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI LYNN ROELOFS MPT (NPI 1700197886) is an individual pediatrics provider in Lake Forest, California, licensed in California (25455) and active in the NPI registry since June 2010. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1700197886
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameLORI LYNN ROELOFSCredential: MPT
Location Address20902 BAKE PKWY, SUITE 100Lake Forest, CA 92630-2175
Mailing Address4 Clementine StTrabuco Canyon, CA 92679-5303 · (949) 422-7839 · Fax (949) 713-0110
Fax(949) 600-5439
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 23, 2010
Last NPPES UpdateOctober 16, 2011
NPI 1700197886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in CA · 25455
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

20902 BAKE PKWY, Lake Forest, CA 92630

Other Identifiers 1

OtherOPT254550CA · Blue Cross Provider Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lori Lynn Roelofs Mpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355870700
PECOS Enrollment IDI20250129003133

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
20902 BAKE PKWY, SUITE 100
LAKE FOREST, CA 92630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Roelofs's NPI number?

The NPI number for Lori Roelofs is 1700197886. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Lori Roelofs located?

Lori Roelofs practices at 20902 Bake Pkwy Suite 100, Lake Forest, CA 92630. The listed phone number is (949) 600-5437.

What is Lori Roelofs's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Lori Roelofs enrolled in Medicare?

Yes. Lori Roelofs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lori Roelofs was last updated on October 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.