Mayra Lupo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00289200 Issued in NJ

Practice address

38 Telegraph Hill Rd
Holmdel, NJ 07733-1449

Phone

(732) 687-6851

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mayra Rodriguez Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Home Rehabilitation, LLCGroup PAC ID 0345418646, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Home Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Belmar, NJ
  • NPI 1316236664

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  Medicare reassignment NPD
• Driven2Heal Physical Therapy

  • Physical Therapist
  • Holmdel, NJ
  • NPI 1114545589
  NPD Authorized official
• Alternative Integrated Medical Services L.L.C.

  • Clinic/Center
  • East Brunswick, NJ
  • NPI 1255432779
  NPD (past)
• Maureen Broderick Wilhelm LPT PA

  • Physical Therapist
  • Millburn, NJ
  • NPI 1114963063
  NPD (past)
• Shore Rehabilitation Services

  • Specialist
  • Eatontown, NJ
  • NPI 1477686186

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1063461911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 TELEGRAPH HILL RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331449",
            "telephone_number": "732-687-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 TELEGRAPH HILL RD",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331449",
            "telephone_number": "732-687-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPO",
        "first_name": "MAYRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00289200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "RODRIGUEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Poonam Lokanadham
• Monica Mercedes Loperena
• Michelle Margotta Lopez
• Samantha Lozy
• Lumos Counseling PC
• Luxottica of America Inc.
• M & D Therapy Services LLC
• M Wellness Centers of NJ
• Dara Madden, NP
• Neisrein Mahmoud, BCBA

• Physical Therapist in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.

Verify at the official NPI Registry.