Individual provider Active NPI

Nelson Festejo Lu, PT, DPT

  • Physical Therapist
  • Old Bridge, NJ
National Provider Identifier
1114836624
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02444700 Issued in NJ
Practice address
300 Perrine Rd Ste 315
Old Bridge, NJ 08857-3628
Phone
(877) 532-7837
NPI assigned
Sep 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 40QA02444700 NJ Primary

Addresses

Primary practice location

300 Perrine Rd Ste 315
Old Bridge, NJ 08857-3628

Mailing address

1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Phone (877) 532-7837

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1114836624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST STE 250",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033066",
            "telephone_number": "877-532-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERRINE RD STE 315",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573628",
            "telephone_number": "877-532-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "NELSON",
        "middle_name": "FESTEJO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02444700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.