Active NPI
Lori Lombardo, PT
- Specialist
- Laurel Springs, NJ
National Provider Identifier
1053409466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 40QA00434100
- Practice address
- 20 Cedar Creek Dr
Laurel Springs, NJ 08021-2713 - Phone
- (856) 904-1442
- Fax
- (856) 228-3309
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00434100 | NJ | |
| Physical Therapist | 225100000X | PT001916E | PA | |
| Specialist | 174400000X | 40QA00434100 | NJ | Primary |
Addresses
Primary practice location
20 Cedar Creek Dr
Laurel Springs, NJ 08021-2713
Mailing address
20 Cedar Creek Dr
Laurel Springs, NJ 08021-2713
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4440397 | Other | NJ | CIGNA PPO |
| 1442162 | Other | NJ | UNITEDHEALTHCARE MPIN |
| 2230030 | Other | NJ | FIRST HEALTH |
| 268092 | Other | NJ | AMERIHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Laurel Springs, NJ 08021
Phone (856) 904-1442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00434100 | NJ | MD | Specialist |
| PT001916E | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Works LLC | Physical Therapist | Current | Accepting new patients |
| Mobile Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858
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.
-
- Physical Therapist
- Ocean, NJ
- NPI 1326495615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1053409466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CEDAR CREEK DR",
"city": "LAUREL SPRINGS",
"state": "NJ",
"postal_code": "080212713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CEDAR CREEK DR",
"city": "LAUREL SPRINGS",
"state": "NJ",
"postal_code": "080212713",
"telephone_number": "856-904-1442",
"fax_number": "856-228-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMBARDO",
"first_name": "LORI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00434100",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT001916E",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "40QA00434100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "4440397",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE MPIN",
"identifier": "1442162",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2230030",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "268092",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel Springs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.