Individual provider Active NPI

Joseph Ardiel Dayao Lubrico, DPT

  • Physical Therapist
  • Cordova, TN
National Provider Identifier
1154954881
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7576 Issued in TN
Practice address
856 Willow Tree Cir
Cordova, TN 38018-6376
Phone
(901) 794-7988
NPI assigned
Feb 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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 7576 TN Primary

Addresses

Primary practice location

856 Willow Tree Cir
Cordova, TN 38018-6376

Mailing address

25 Whispering Ridge CV
Oakland, TN 38060-4639
Phone (901) 481-9589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200409000215 TN Practitioner - Physical Therapist in Private Practice 9234568478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab World IncGroup PAC ID 0345220638, 3 clinicians

Practice addresses (Care Compare)

301 N W St
Somerville, TN 38068-1309
Phone (901) 465-9191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab World Inc Physical Therapist CurrentSince Nov 15, 2022 Accepting new patients
At Home Physical Rehabilitation Group, LLC Physical Therapist CurrentSince Mar 15, 2020 Accepting new patients

Locations

856 Willow Tree Cir
Cordova, TN 38018
Phone (901) 550-9100

301 N West St
Somerville, TN 38068
Phone (901) 465-1801

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": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1154954881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WHISPERING RIDGE CV",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380604639",
            "telephone_number": "901-481-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 WILLOW TREE CIR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186376",
            "telephone_number": "901-794-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBRICO",
        "first_name": "JOSEPH ARDIEL",
        "middle_name": "DAYAO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.