Grace Lyzette Umali, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01243600 Issued in NJ

Practice address

39 Harbor Bay Cir
Laurence Harbor, NJ 08879-2921

Phone

(201) 699-6097

NPI assigned

Feb 10, 2017

Last updated

Feb 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Airport Plaza Spine and Wellness LLCGroup PAC ID 3173801982, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Airport Plaza Spine & Wellness LLC

  • Interventional Pain Medicine Physician
  • Hazlet, NJ
  • NPI 1881053197

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1174061055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HARBOR BAY CIR",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HARBOR BAY CIR",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792921",
            "telephone_number": "201-699-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMALI",
        "first_name": "GRACE LYZETTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01243600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florence Ojo, PHARM.D, CCP, RPH
• Altagracia Santana-Pichardo, LCSW
• Dhavalkumar I Shah
• Irina M Shumskaya, MD
• Ahmed Sleem
• Lisa Renee Whitehead, RRT

• Physical Therapist in Laurence Harbor, NJ
• Providers in Laurence Harbor, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.