Individual provider Active NPI

Michelle Rose Lombardo, PT, DPT

  • Physical Therapist
  • Staten Island, NY
National Provider Identifier
1508452574
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
962 Manor Rd
Staten Island, NY 10314-7041
Phone
(718) 982-5944
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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 NY Primary

Addresses

Primary practice location

962 Manor Rd
Staten Island, NY 10314-7041

Mailing address

962 Manor Rd
Staten Island, NY 10314-7041
Phone (718) 982-5944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210416000352 NY Practitioner - Physical Therapist in Private Practice 1153739990 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Aug 23, 2021 Accepting new patients
New York Chiropractic & Physical Therapy, PLLC CurrentSince Mar 22, 2021 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Aug 23, 2021 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

1163 Forest Ave
Staten Island, NY 10310
Phone (718) 727-0055

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1508452574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147041",
            "telephone_number": "718-982-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 MANOR RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147041",
            "telephone_number": "718-982-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "MICHELLE",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "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 Jan 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.