Organization Active NPI

Johanna Lubbe Physical Therapy PC

  • Physical Therapist
  • Katonah, NY
National Provider Identifier
1104437516
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOHANNA LUBBE PHYSICAL THERAPY PC
Practice address
190 Goldens Bridge Rd
Katonah, NY 10536-2810
Phone
(914) 875-9430
Fax
(914) 875-9435
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Johanna E Lubbe, PTNPI 1164660007
Title
Owner/PT
Phone
(914) 875-9430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

190 Goldens Bridge Rd
Katonah, NY 10536-2810

Mailing address

190 Goldens Bridge Rd Ste 5
Katonah, NY 10536-2804
Phone (914) 875-9430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201020003473 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759701337 Receives reassigned benefits from 2 practitioners
Practice locations: Katonah, NY

National Provider Directory

National Provider Directory

Locations

892 Route 35
Cross River, NY 10518
Phone (914) 763-0458

190 Goldens Bridge Rd
Ste 5
Katonah, NY 10536
Phone (914) 875-9430

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1104437516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD STE 5",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362804",
            "telephone_number": "914-875-9430",
            "fax_number": "914-875-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362810",
            "telephone_number": "914-875-9430",
            "fax_number": "914-875-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANNA LUBBE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "LUBBE",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "914-875-9430",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.