Active NPI
Lucy H Jones, PT, GSC
- Physical Therapist
- Cherry Hill, NJ
National Provider Identifier
1639185531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-02166
- Practice address
- 1998 Route 70 E
Cherry Hill, NJ 08003-1834 - Phone
- (913) 706-8895
- Fax
- (856) 424-2000
- NPI assigned
- Jul 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-02166 | KS | Primary |
| Physical Therapist | 225100000X | 109248 | MO |
Addresses
Primary practice location
1998 Route 70 E
Cherry Hill, NJ 08003-1834
Mailing address
13 Spring Ridge CT
Blackwood, NJ 08012-5323
Phone (913) 706-8895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 484853700 | Medicaid | MO | |
| 4886955901 | Medicaid | KS |
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 |
|---|---|---|---|
| 11-02166 | KS | MD | Physical Therapist |
| 109248 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultima Rehab-NJ LLC | 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.
-
- Geriatric Physical Therapist
- Wall Township, NJ
- NPI 1427426485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1639185531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 SPRING RIDGE CT",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080125323",
"telephone_number": "913-706-8895",
"fax_number": "856-258-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1998 ROUTE 70 E",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080031834",
"telephone_number": "913-706-8895",
"fax_number": "856-424-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LUCY",
"middle_name": "H",
"credential": "PT, GSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-02166",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "109248",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "484853700",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4886955901",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.