Individual provider Active NPI

Jasmin D Lugo, ATC, PT, DPT

  • Physical Therapist
  • Tenafly, NJ
National Provider Identifier
1124774674
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02075700 Issued in NJ
Practice address
111 Dean Dr
Tenafly, NJ 07670-2764
Phone
(201) 503-7173
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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 40QA02075700 NJ Primary

Addresses

Primary practice location

111 Dean Dr
Tenafly, NJ 07670-2764

Mailing address

111 Dean Dr
Tenafly, NJ 07670-2764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240506000805 NJ Practitioner - Physical Therapist in Private Practice 2567802754
I20251010002140 MD Practitioner - Physical Therapist in Private Practice 2567802754 Reassigns benefits to 1 organization
I20251224000263 DC Practitioner - Physical Therapist in Private Practice 2567802754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forever Fit Physical Therapy and Wellness LLCGroup PAC ID 1153513122, 40 clinicians

Practice addresses (Care Compare)

3901 National Dr
Suite 100
Burtonsville, MD 20866-1176
Phone (301) 421-1125

7130 Minstrel Way
Ll110
Columbia, MD 21045-5261
Phone (240) 841-2639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Fit Physical Therapy & Wellness, LLC CurrentSince Sep 24, 2025 Accepting new patients
Forever Fit Physical Therapy & Wellness Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients

Locations

3901 National Dr
Ste 100
Burtonsville, MD 20866
Phone (301) 232-3684

7130 Minstrel Way
Ste LL110
Columbia, MD 21045
Phone (240) 841-2639

10301 Georgia Ave
Ste 200
Silver Spring, MD 20902
Phone (301) 593-7300

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1124774674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEAN DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEAN DR",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702764",
            "telephone_number": "201-503-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "JASMIN",
        "middle_name": "D",
        "credential": "ATC, PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02075700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.