Individual provider Active NPI

Irelina Sullera Lumbrera-Sumagaysay, PT, DPT

  • Physical Therapist
  • Jamesville, NY
National Provider Identifier
1871818773
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032206-1 Issued in NY
Practice address
5875 Night Wind Circle
Jamesville, NY 13078
Phone
(917) 434-2949
NPI assigned
Apr 2, 2010
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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 032206-1 NY Primary

Addresses

Primary practice location

5875 Night Wind Circle
Jamesville, NY 13078

Mailing address

5875 Night Wind Circle
Jamesville, NY 13078
Phone (917) 434-2949

Other names 1

  • Irelina Sullera Lumbrera Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
032206-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1871818773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 NIGHT WIND CIRCLE",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "13078",
            "telephone_number": "917-434-2949",
            "fax_number": "347-621-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 NIGHT WIND CIRCLE",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "13078",
            "telephone_number": "917-434-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMBRERA-SUMAGAYSAY",
        "first_name": "IRELINA",
        "middle_name": "SULLERA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032206-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRELINA",
            "last_name": "LUMBRERA",
            "middle_name": "SULLERA",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamesville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.