Individual provider Active NPI

Grace Montojo-Lumbris, RPT

  • Physical Therapist
  • Burbank, CA
National Provider Identifier
1902110067
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 32690 Issued in CA
Practice address
2112 N Kenwood St
Burbank, CA 91505-1423
Phone
(132) 196-1277
NPI assigned
Jul 31, 2010
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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 PT 32690 CA Primary

Addresses

Primary practice location

2112 N Kenwood St
Burbank, CA 91505-1423

Mailing address

3540 Wilshire Blvd
314
Los Angeles, CA 90010-2307
Phone (213) 389-1141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000445 CA Practitioner - Physical Therapist in Private Practice 5193917268 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Jan 1, 2023 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
West Wellness Physical Therapy & Rehab Inc Past Accepting new patients
Five Point Physical Therapy Inc Physical Therapist Past Accepting new patients
Vins Physical Therapy Inc Physical Therapist PastSince Jan 2, 2013 Accepting new patients
MGR Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

10801 Lindley Ave
Granada Hills, CA 91344
Phone (747) 239-4047

9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018

3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128

177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366

951 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 517-5411

227 E Anapamu St
Santa Barbara, CA 93101
Phone (310) 531-3099

3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022

3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 488-6340

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 9

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": "1280534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1902110067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD",
            "address_2": "314",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102307",
            "telephone_number": "213-389-1141",
            "fax_number": "213-389-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N KENWOOD ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915051423",
            "telephone_number": "132-196-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOJO-LUMBRIS",
        "first_name": "GRACE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-31",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 32690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.