Individual provider Active NPI

Lucas Motta Nogueira, PT, DPT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1649938978
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02007100 Issued in NJ
Practice address
15 Pembroke LN
Toms River, NJ 08757-4420
Phone
(973) 951-2144
NPI assigned
Dec 3, 2021
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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 40QA02007100 NJ Primary

Addresses

Primary practice location

15 Pembroke LN
Toms River, NJ 08757-4420

Mailing address

128 Ferry St
Newark, NJ 07105-2115
Phone (973) 344-0012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516003204 NJ Practitioner - Physical Therapist in Private Practice 4385085604 Reassigns benefits to 3 organizations

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
Resurgence Physical Therapy LLCGroup PAC ID 0648603613, 2 clinicians
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians

Practice addresses (Care Compare)

561 Bloomfield Ave
Verona, NJ 07044-1818
Phone (973) 744-6279

769 Northfield Ave
Suite 132
West Orange, NJ 07052-1106
Phone (973) 669-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgence Physical Therapy LLC CurrentSince Apr 13, 2024 Accepting new patients
Newark Pain and Rehab Center, LLC Physical Therapist CurrentSince Dec 5, 2021 Accepting new patients
Sportscare of America, PC Physical Therapist CurrentSince Sep 3, 2025 Accepting new patients
United Sports Care & Physical Therapy Physical Therapist CurrentSince Sep 3, 2025 Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

128 Ferry St
Newark, NJ 07105
Phone (973) 344-0012

140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

111 W Water St
Toms River, NJ 08753
Phone (732) 473-9440

561 Bloomfield Ave
Verona, NJ 07044
Phone (973) 744-6279

769 Northfield Ave
Ste 132
West Orange, NJ 07052
Phone (973) 669-3500

Organizations & group practices 4

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": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1649938978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052115",
            "telephone_number": "973-344-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PEMBROKE LN",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087574420",
            "telephone_number": "973-951-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGUEIRA",
        "first_name": "LUCAS",
        "middle_name": "MOTTA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02007100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.

Verify at the official NPI Registry.