Individual provider Active NPI

Nicole M Lombardo, PT, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1750837886
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047276 Issued in NY
Practice address
770 Lexington Ave FL 3
New York, NY 10065-8165
Phone
(646) 618-7777
NPI assigned
Aug 29, 2016
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 296444 CA
Physical Therapist 225100000X 40QA01683500 NJ
Physical Therapist 225100000X 047276 NY Primary

Addresses

Primary practice location

770 Lexington Ave FL 3
New York, NY 10065-8165

Mailing address

770 Lexington Ave FL 3
New York, NY 10065-8165
Phone (646) 618-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161104000132 NJ Practitioner - Physical Therapist in Private Practice 5991083487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

725 River Rd
Suite 60
Edgewater, NJ 07020-1149
Phone (201) 941-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NLS Physical Therapy & Personal Training, LLC Physical Therapist Current Accepting new patients
Scerbo Physical Therapy & Sports Medicine Institute, LLC Physical Therapist CurrentSince Aug 31, 2016 Accepting new patients
New York Society for the Relief of Ruptured & Crippled Maintaining Physical Therapist PastSince Feb 13, 2022 Accepting new patients

Locations

725 River Rd
Ste 60
Edgewater, NJ 07020
Phone (201) 833-7213

Organizations & group practices 3

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1750837886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 LEXINGTON AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658165",
            "telephone_number": "646-618-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LEXINGTON AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658165",
            "telephone_number": "646-618-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296444",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01683500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.