Individual provider Active NPI

Wen-Li Lu, PT, MS, GCFP

  • Physical Therapist
  • Gaithersburg, MD
National Provider Identifier
1639290489
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18018 Issued in MD
Practice address
16220 Frederick Ave
Suite 512
Gaithersburg, MD 20877-4022
Phone
(301) 977-7782
Fax
(301) 977-8287
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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 18018 MD Primary

Addresses

Primary practice location

16220 Frederick Ave
Suite 512
Gaithersburg, MD 20877-4022

Mailing address

4 Henley CT
Rockville, MD 20850-2948

Other identifiers 2

IdentifierTypeStateIssuer
N025OtherCAREFIRST BL CR BL SH
700812OtherACN GROUP

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
18018MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wen-Li Lu,LLC Physical Therapist PastSince Aug 15, 2003 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1639290489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HENLEY CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK AVE",
            "address_2": "SUITE 512",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774022",
            "telephone_number": "301-977-7782",
            "fax_number": "301-977-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "WEN-LI",
        "credential": "PT, MS, GCFP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BL CR BL SH",
            "identifier": "N025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "700812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.