Individual provider Active NPI

Pamela Lubker, PT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1124341961
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6397L Issued in PA
Practice address
224 W Tulpehocken St
Philadelphia, PA 19144-3210
Phone
(215) 843-0809
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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 6397L PA Primary

Addresses

Primary practice location

224 W Tulpehocken St
Philadelphia, PA 19144-3210

Mailing address

525 Westview St
Philadelphia, PA 19119-3529
Phone (215) 438-7166

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
6397LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unitarian Universalist House of the Joseph Priestley District Past Accepting new patients
Main Line Medical Group LTD Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1124341961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WESTVIEW ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193529",
            "telephone_number": "215-438-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W TULPEHOCKEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443210",
            "telephone_number": "215-843-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBKER",
        "first_name": "PAMELA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "6397L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.