Active NPI
Lugo Comprehensive PT Services
- Physical Therapy Clinic/Center
- Staten Island, NY
National Provider Identifier
1710011465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 025272
- Legal business name
- LUGO COMPREHENSIVE PT SERVICES
- Practice address
- 515 Neckar Ave
Staten Island, NY 10304-4511 - Phone
- (646) 361-1501
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John E Lugo, PT, ECS
- Title
- Owner
- Phone
- (646) 361-1501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 025272 | NY | Primary |
| Physical Therapy Clinic/Center | 261QP2000X | 40QA01210900 | NJ | |
| Physical Therapy Clinic/Center | 261QP2000X | 22051 | MD | |
| Physical Therapy Clinic/Center | 261QP2000X | PT019858 | PA |
Addresses
Primary practice location
515 Neckar Ave
Staten Island, NY 10304-4511
Mailing address
117 Charlotte Ter
Roselle Park, NJ 07204-2406
Phone (646) 361-1501
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Electrophysiology Physical Therapist
- Columbus, GA
- NPI 1396886529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337644800000",
"number": "1710011465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 CHARLOTTE TER",
"city": "ROSELLE PARK",
"state": "NJ",
"postal_code": "072042406",
"telephone_number": "646-361-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 NECKAR AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044511",
"telephone_number": "646-361-1501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUGO COMPREHENSIVE PT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2012-05-22",
"status": "A",
"authorized_official_last_name": "LUGO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-361-1501",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT, ECS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NY",
"license": "025272",
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NJ",
"license": "40QA01210900",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MD",
"license": "22051",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "PA",
"license": "PT019858",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.