Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861733396 Individual Practitioner Female Practitioner

Lori Mcnickle , CPED, RFOM

Pedorthist • Canton, OH

Professional Overview & Biography Verified Profile Summary

Lori Mcnickle, CPED, RFOM is a registered healthcare professional specializing in Pedorthist in Canton, OH. Practice services are available at 4663 WHIPPLE AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4663 Whipple Ave Nw

Canton, OH 447182615

Telephone 3304790020
Fax 3304935759
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pedorthist in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Canton, OH (10 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pedorthist Primary Specialty

NUCC Taxonomy Code: 224L00000X

State License OH LPED32

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2002862 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1497096929

Certified Orthotist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2013

Registered at 4663 WHIPPLE AVE NW, CANTON, OH 447182615 (Tel: 3304790020)

📍
Updated Business Mailing Address March 07, 2013

Registered at 4663 WHIPPLE AVE NW, CANTON, OH 447182615 (Tel: 3304790020)

👤
Provider Name / Credentials Updated March 07, 2013

Recorded as LORI MCNICKLE, CPED, RFOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2013

Pedorthist (License #LPED32 in OH)

🟢
Initial NPI Registration & Enumeration March 07, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Lori Mcnickle. Be the first to share your experience!

Sign in to leave a review for Lori Mcnickle

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1861733396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2013
Last Update: March 07, 2013
Sole Proprietor: No

Mailing Address

4663 Whipple Ave Nw

Canton, OH 447182615

Phone: 3304790020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.