Individual provider Active NPI

Johnathan Lau, PT, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1124619036
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10 Union SQ E # 5N
New York, NY 10003-3314
Phone
(212) 420-2000
NPI assigned
Feb 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 Primary

Addresses

Primary practice location

10 Union SQ E # 5N
New York, NY 10003-3314

Mailing address

32 Kevin LN
Bethpage, NY 11714-6321
Phone (516) 816-8688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210212000298 NY Practitioner - Physical Therapist in Private Practice 7214342831 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Luna Care Physical Therapy PLLCGroup PAC ID 0840604666, 62 clinicians
Chakra Physical Therapy PCGroup PAC ID 1557753175, 4 clinicians

Practice addresses (Care Compare)

Pearl River, NY 10965
Phone (866) 525-3175

Baldwin, NY 11510
Phone (516) 376-3293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Esd PT OT & SLP PLLC Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Hand Physical Therapy Nyc OT PT Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
New York Luna Care Physical Therapy PLLC Physical Therapist CurrentSince Feb 23, 2026 Accepting new patients
Core Physical Therapy Services PC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients

Locations

2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803

2003 Coney Island Ave
Brooklyn, NY 11223
Phone (347) 394-1600

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

89 5th Ave
Ste 1002
New York, NY 10003
Phone (212) 255-6355

89 5th Ave
Ste 803
New York, NY 10003
Phone (212) 989-4263

1 Blue Hill Plz
Ste 1509
Pearl River, NY 10965
Phone (201) 914-0063

Organizations & group practices 6

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1124619036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 KEVIN LN",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117146321",
            "telephone_number": "516-816-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E # 5N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-420-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "JOHNATHAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.