Individual provider Active NPI

Eric Paul Lubi, PT

  • Physical Therapist
  • Laurel, MD
National Provider Identifier
1245477009
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22777 Issued in MD
Practice address
13946 Baltimore Ave
Laurel, MD 20707-5000
Phone
(301) 498-2212
Fax
(301) 498-2213
NPI assigned
Jan 15, 2009
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 60076268 WA
Physical Therapist 225100000X 18509 MA
Physical Therapist 225100000X 22777 MD Primary

Addresses

Primary practice location

13946 Baltimore Ave
Laurel, MD 20707-5000

Mailing address

6018 Duckeys Run Rd
Elkridge, MD 21075-6109
Phone (443) 735-7775

Other practice location 1

1820 Highland Ave
Fall River, MA 02720-4327
Phone (443) 735-7775

Other identifiers 1

IdentifierTypeStateIssuer
22777OtherMDPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22777MDMDSocial Worker
18509MAMDPhysical Therapist
PT 60076268WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Care Solutions, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1245477009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 DUCKEYS RUN RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756109",
            "telephone_number": "443-735-7775",
            "fax_number": "410-720-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13946 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075000",
            "telephone_number": "301-498-2212",
            "fax_number": "301-498-2213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027204327",
            "country_code": "US",
            "telephone_number": "443-735-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBI",
        "first_name": "ERIC PAUL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60076268",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18509",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "22777",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.