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NPI Code Detail

MEDICARE: MR. JOHN E LUGO PT

MEDICARE: MR. JOHN E LUGO PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA01210900NJ
22251E1300XClinical Electrophysiology Physical Therapist025272NY
32251E1300XClinical Electrophysiology Physical TherapistPTH10732AL
4225100000XPhysical TherapistPTH10732AL
5225100000XPhysical TherapistPT016313GA
62251E1300XClinical Electrophysiology Physical TherapistPT016313GA
7225100000XPhysical TherapistPT109858PA

General Provider Information

NPI Number : 1396886529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN E LUGO PT
Provider Business Mailing Address
First Line : PO BOX 370
Second Line :
City : FORTSON
State : GA
Zip : 31808-0370
Country : US
Telephone Number :
Fax Number : 706-221-3132
Provider Business Practice Location Address
First Line : 6262 VETERANS PKWY
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-3540
Country : US
Telephone Number : 706-332-4666
Fax Number : 706-494-3201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 01/28/2026

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