Individual provider Active NPI

Ma. Ursula Nacua Lamoco, OTR

  • Physical Therapist
  • Monroe Township, NJ
National Provider Identifier
1194145680
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
46TR00972300 Issued in NJ
Practice address
18 Centre Dr
Monroe Township, NJ 08831-1501
Phone
(609) 655-4200
Fax
(609) 655-4201
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07223 MD
Physical Therapist 225100000X 46TR00972300 NJ Primary

Addresses

Primary practice location

18 Centre Dr
Monroe Township, NJ 08831-1501

Mailing address

PO Box 416495
Boston, MA 02241-6495
Phone (631) 580-5200

Other practice location 1

26901 US Highway 119 N
Belfry, KY 41514-7520
Phone (606) 237-0327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210706000008 NJ Practitioner - Occupational Therapist in Private Practice 6901028364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

18 Centre Dr
Monroe, NJ 08831-1501
Phone (609) 655-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07223MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Jul 6, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Jul 6, 2021 Accepting new patients
Hamilton Physical Therapy Services Physical Therapist CurrentSince Mar 18, 2022 Accepting new patients

Locations

2770 Hooper Ave
#16
Brick, NJ 08723
Phone (732) 714-5061

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

18 Centre Dr
Monroe Twp, NJ 08831
Phone (609) 655-4200

Organizations & group practices 3

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1194145680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416495",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416495",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CENTRE DR",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088311501",
            "telephone_number": "609-655-4200",
            "fax_number": "609-655-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26901 US Highway 119 N",
            "address_purpose": "LOCATION",
            "city": "Belfry",
            "state": "KY",
            "postal_code": "415147520",
            "country_code": "US",
            "telephone_number": "606-237-0327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMOCO",
        "first_name": "MA. URSULA",
        "middle_name": "NACUA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07223",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "46TR00972300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.