Individual provider Active NPI

Lingxin Lu, PT, DPT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1235956194
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
044873 Issued in NY
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

Updated by the provider on Sep 23, 2024

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 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

Enrollment IDStateProvider typePAC IDDetails
I20241122003326 NY Practitioner - Physical Therapist in Private Practice 1456886746 Reassigns benefits to 2 organizations

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
Prestige Rehab LLCGroup PAC ID 3375936495, 59 clinicians
New York Physical and Occupational Therapy Services, PLLCGroup PAC ID 6305144775, 48 clinicians

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

LicenseStateTypeSpecialty
044873NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Rehab Ny LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Jul 10, 2025 Accepting new patients
Prestige Rehab LLC Physical Therapist CurrentSince Oct 1, 2024 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.

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.

Verify at the official NPI Registry.