Active NPI
Wonmi Lussier, DPT
- Physical Therapist
- Plantation, FL
National Provider Identifier
1548714686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31508
- Practice address
- 600 S Pine Island Rd
Plantation, FL 33324-3166 - Phone
- (954) 474-2525
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT31508 | ||
| Physical Therapist | 225100000X | 31508 | FL | Primary |
Addresses
Primary practice location
600 S Pine Island Rd
Plantation, FL 33324-3166
Mailing address
956 Mockingbird LN Apt 504
Plantation, FL 33324-3441
Phone (708) 662-0379
Other names 1
- Wonmi Yoo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10220 W State Rd
84 Suite 5
Davie, FL 33324-4223
Phone (954) 406-8998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31508 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| She Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
10220 W State Road 84
Ste 5
Davie, FL 33324
Phone (954) 382-0001
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Davie, FL
- NPI 1649894155
Physical Therapist
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1548714686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "956 MOCKINGBIRD LN APT 504",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243441",
"telephone_number": "708-662-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S PINE ISLAND RD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243166",
"telephone_number": "954-474-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSSIER",
"first_name": "WONMI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "PT31508",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "31508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WONMI",
"last_name": "YOO",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.