Active NPI
Maria Elena Lugue, P.T.
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1629080320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27617
- Practice address
- 6214 W Manchester Ave
Los Angeles, CA 90045-3801 - Phone
- (310) 348-8464
- Fax
- (310) 348-8470
- NPI assigned
- Aug 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27617 | CA | Primary |
Addresses
Primary practice location
6214 W Manchester Ave
Los Angeles, CA 90045-3801
Mailing address
6214 W Manchester Ave
Los Angeles, CA 90045-3801
Phone (310) 348-8464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT27617A | Other | CA | BLUE SHIELD |
| P00137296 | Other | CA | MEDICARE RAILROAD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT27617 | CA | MD | Physical Therapist |
| 27617 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Care, Inc | 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 and National Provider Directory roles.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1033299029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629080320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6214 W MANCHESTER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453801",
"telephone_number": "310-348-8464",
"fax_number": "310-348-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6214 W MANCHESTER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453801",
"telephone_number": "310-348-8464",
"fax_number": "310-348-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGUE",
"first_name": "MARIA",
"middle_name": "ELENA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT27617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OPT27617A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00137296",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.