Individual provider Active NPI

Lucas Lippert

  • Physical Therapist
  • Madison, WI
National Provider Identifier
1023787256
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15545-24 Issued in WI
Practice address
5833 American Pkwy
Madison, WI 53718-8325
Phone
(608) 230-4681
NPI assigned
Sep 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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 15545-24 WI Primary

Addresses

Primary practice location

5833 American Pkwy
Madison, WI 53718-8325

Mailing address

3526 Wyota Ave
Madison, WI 53711-1741
Phone (415) 810-4602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121002671 WI Practitioner - Physical Therapist in Private Practice 8224567276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Physical Therapy Specialists LLCGroup PAC ID 4981931466, 24 clinicians
Associated Physicians, LLPGroup PAC ID 7719953306, 25 clinicians

Practice addresses (Care Compare)

3525 University Ave
Madison, WI 53705-2140
Phone (608) 467-3537

4410 Regent St
Madison, WI 53705-4901
Phone (608) 233-9746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15545-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians, LLP Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients
Capitol Physical Therapy Specialists LLC Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients
Capitol Physical Therapy LLC Physical Therapist PastSince Sep 19, 2017 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

3525 University Ave
Madison, WI 53705
Phone (608) 467-3537

4410 Regent St
Madison, WI 53705
Phone (608) 233-9746

1215 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-0222

Organizations & group practices 3

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": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1023787256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 WYOTA AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111741",
            "telephone_number": "415-810-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 AMERICAN PKWY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537188325",
            "telephone_number": "608-230-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPERT",
        "first_name": "LUCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15545-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.