Active NPI
Vivian Frances Luu Gerstle, MSPT
- Physical Therapist
- Cherry Hill, NJ
National Provider Identifier
1649346123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT870268
- Practice address
- 801 N Kings Hwy
Cherry Hill, NJ 08034-1513 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Nov 28, 2006
- Last updated
- Jun 26, 2008
- 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 | PT870268 | DC | Primary |
| Physical Therapist | 225100000X | 2305203274 | VA |
Addresses
Primary practice location
801 N Kings Hwy
Cherry Hill, NJ 08034-1513
Mailing address
801 N Kings Hwy
Cherry Hill, NJ 08034-1513
Phone (877) 407-3422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | VA | RAILROAD MEDICARE PROVIDER NUMBER (MEDICARE PIN) |
Other names 1
- Miss Vivian Frances Luu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3925 Downs Dr
Chantilly, VA 20151-3308
Phone (703) 810-3992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT870268 | DC | MD | Physical Therapist |
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, 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": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1649346123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N KINGS HWY",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341513",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N KINGS HWY",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341513",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSTLE",
"first_name": "VIVIAN",
"middle_name": "FRANCES LUU",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870268",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203274",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROVIDER NUMBER (MEDICARE PIN)",
"identifier": "N/A",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VIVIAN",
"last_name": "LUU",
"middle_name": "FRANCES",
"prefix": "MISS",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 26, 2008; 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.