Individual provider Active NPI

Lynie Pepito Lumang, RPT

  • Physical Therapist
  • Queens, NY
National Provider Identifier
1043010051
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051278 Issued in NY
Practice address
90-47 55TH Avenue Elmhurst FL 2
Queens, NY 11373
Phone
(347) 805-8941
NPI assigned
Mar 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 051278 NY Primary

Addresses

Primary practice location

90-47 55TH Avenue Elmhurst FL 2
Queens, NY 11373

Mailing address

90-47 55TH Avenue Elmhurst FL 2
Queens, NY 11373
Phone (347) 805-8941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
051278NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1043010051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90-47 55TH AVENUE ELMHURST FL 2",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "347-805-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-47 55TH AVENUE ELMHURST FL 2",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "347-805-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMANG",
        "first_name": "LYNIE",
        "middle_name": "PEPITO",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.