Healthcare Provider Details

I. General information

NPI: 1124019658
Provider Name (Legal Business Name): LORI W ZASLOFF PT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORI J WOOFTER PT DPT

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 THIRD ST
CAMBRIDGE MA
02142-1111
US

IV. Provider business mailing address

4 RICHMOND SQ
PROVIDENCE RI
02906-5117
US

V. Phone/Fax

Practice location:
  • Phone: 617-714-5402
  • Fax: 844-912-8604
Mailing address:
  • Phone: 401-433-4172
  • Fax: 401-433-0612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17122
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number17122
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: