Individual provider Active NPI

Nelky J. Lugo Irizarry, R.P.T.

  • Physical Therapist
  • Bayamon, PR
National Provider Identifier
1912097387
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
403 Issued in PR
Practice address
Bella Vista Gardens Commericial Ctr Route 167
Suite 14-a
Bayamon, PR 00957-0000
Phone
(787) 279-1496
Fax
(787) 279-1496
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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 403 PR Primary

Addresses

Primary practice location

Bella Vista Gardens Commericial Ctr Route 167
Suite 14-a
Bayamon, PR 00957-0000

Mailing address

P.O. Box 6515
Santa Rosa Unit
Bayamon, PR 00960-9005
Phone (787) 279-1496

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130503000391 PR Practitioner - Physical Therapist in Private Practice 0941447221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 167
Centro Comercial Bella Vista Gardens
Bayamon, PR 00957-6053
Phone (787) 279-1496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Terapia Fisica Y Medicina Deportiva Bella Vista Inc Physical Therapist CurrentSince Nov 6, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1912097387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6515",
            "address_2": "SANTA ROSA UNIT",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009609005",
            "telephone_number": "787-279-1496",
            "fax_number": "787-279-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELLA VISTA GARDENS COMMERICIAL CTR ROUTE 167",
            "address_2": "SUITE 14-A",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009570000",
            "telephone_number": "787-279-1496",
            "fax_number": "787-279-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO IRIZARRY",
        "first_name": "NELKY",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.