Roderick Lu PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QAOO749800 Issued in NJ

Legal business name

RODERICK LU PT LLC

Practice address

23 Greyhound CT
Kendall Park, NJ 08824-1492

Phone

(732) 599-9310

NPI assigned

Feb 19, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roderick Lu, PT

Title

Owner

Phone

(732) 599-9310

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roderick Agonoy Lu, PT

  • Physical Therapist
  • Kendall Park, NJ
  • NPI 1679917215
  NPD (past)

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1134544752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GREYHOUND CT",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241492",
            "telephone_number": "732-599-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 GREYHOUND CT",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241492",
            "telephone_number": "732-599-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODERICK LU PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-599-9310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QAOO749800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rem New Jersey, Inc.
• Respiratory & Sleep Specialists LLC
• Maya Reuven, DO
• Stephanie Ringeisen
• Karen W. Rispoli, MSW, LCSW
• Donald P Rosen, M.D.
• Fredda J Rothman, LCSW
• RP Dental
• Kerstin Rubbert-Slawek, M.D.
• Marc Scott Rubenstein, DPT

• All providers in Kendall Park, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.