Active NPI
Lingxin Lu, PT, DPT
- Physical Therapist
- Staten Island, NY
National Provider Identifier
1235956194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044873
- Practice address
- 41 Burgundy Loop
Staten Island, NY 10304-3739 - Phone
- (646) 361-8928
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 044873 | NY | Primary |
Addresses
Primary practice location
41 Burgundy Loop
Staten Island, NY 10304-3739
Mailing address
41 Burgundy Loop
Staten Island, NY 10304-3739
Phone (646) 361-8928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 W 16TH St
Apt 4PN
New York, NY 10011-0173
Phone (855) 678-8887
2579 Ocean Ave
FL 3
Brooklyn, NY 11229-4552
Phone (646) 780-0926
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044873 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Rehab Ny LLC | Physical Therapist | Current | Accepting new patients |
| New York Physical and Occupational Therapy Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Prestige Rehab LLC | Physical Therapist | Current | Accepting new patients |
Locations
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
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.
-
dba New York Therapy And Wellness
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
-
- Physical Therapist
- New York, NY
- NPI 1649005778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1235956194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 BURGUNDY LOOP",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103043739",
"telephone_number": "646-361-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 BURGUNDY LOOP",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103043739",
"telephone_number": "646-361-8928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "LINGXIN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.