Active NPI
Jasmin D Lugo, ATC, PT, DPT
- Physical Therapist
- Tenafly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02075700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
Enrollment records 3
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forever Fit Physical Therapy & Wellness, LLC | Current | Accepting new patients | |
| Forever Fit Physical Therapy & Wellness | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Burtonsville, MD
- NPI 1538489802
DC
-
- Physical Therapist
- Largo, MD
- NPI 1144892555
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.