Individual provider Active NPI

Jill Marie Lombardo, D.P.T., NCS, CBIS

  • Physical Therapist
  • Greenwood, IN
National Provider Identifier
1023326105
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010096 Issued in CT
Practice address
965 Emerson Pkwy Ste G
Greenwood, IN 46143-6274
Phone
(317) 324-3765
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.012289 OH
Physical Therapist 225100000X 010096 CT Primary

Addresses

Primary practice location

965 Emerson Pkwy Ste G
Greenwood, IN 46143-6274

Mailing address

80 Norwich New London Tpke
Suite 2E
Uncasville, CT 06382-2527
Phone (860) 892-8683

Other practice location 1

80 Norwich New London Tpke # 2E
Uncasville, CT 06382-2527
Phone (860) 892-8683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201229001237 IN Practitioner - Physical Therapist in Private Practice 4486958378 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010096CTMDPhysical Therapist
PT.012289OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients

Locations

965 Emerson Pkwy
Ste G
Greenwood, IN 46143
Phone (317) 324-3765

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1023326105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NORWICH NEW LONDON TPKE",
            "address_2": "SUITE 2E",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822527",
            "telephone_number": "860-892-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 EMERSON PKWY STE G",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436274",
            "telephone_number": "317-324-3765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Norwich New London Tpke # 2E",
            "address_purpose": "LOCATION",
            "city": "Uncasville",
            "state": "CT",
            "postal_code": "063822527",
            "country_code": "US",
            "telephone_number": "860-892-8683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "D.P.T., NCS, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.012289",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.