Individual provider Active NPI

Jia Lu, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1548900145
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
046614 Issued in NY
Practice address
902 Broadway Ste 1601
New York, NY 10010-6028
Phone
(646) 654-1835
Fax
(646) 654-6789
NPI assigned
Mar 31, 2022
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 046614 NY Primary

Addresses

Primary practice location

902 Broadway Ste 1601
New York, NY 10010-6028

Mailing address

902 Broadway Ste 1601
New York, NY 10010-6028
Phone (646) 654-1835

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419001278 NY Practitioner - Physical Therapist in Private Practice 6608263884 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046614NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Physical Therapy,PC Physical Therapist CurrentSince Apr 13, 2022 Accepting new patients
Recovery Physical Therapy, P.C. Physical Therapist CurrentSince Apr 13, 2022 Accepting new patients

Locations

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

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, 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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1548900145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BROADWAY STE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106028",
            "telephone_number": "646-654-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BROADWAY STE 1601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106028",
            "telephone_number": "646-654-1835",
            "fax_number": "646-654-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "JIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.