Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mayra Lupo, PT

Individual provider Physical Therapist · NPI 1063461911

Mayra Lupo, PT is a Physical Therapist in Private Practice in Holmdel, New Jersey. Qualified in 1977, 49 years ago. Practices with Coastal Home Rehabilitation, LLC, a 52-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
49
Licensed in
NJ
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

38 Telegraph Hill Rd
Holmdel, NJ 07733-1449
Phone: (732) 687-6851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA00289200 (NJ)

Record details

NPI number1063461911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020
Mailing address38 Telegraph Hill Rd, Holmdel, NJ 07733-1449

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Coastal Home Rehabilitation, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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