Jacob E Luckett, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4563 Issued in AR

Practice address

2039 W Main St Ste B
Cabot, AR 72023-7479

Phone

(501) 605-8888

Fax

(501) 605-8899

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Rose Physical Therapy - West Little Rock LLCGroup PAC ID 8022545862, 4 clinicians

Blue Rose Physical Therapy LLCGroup PAC ID 1759779119, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

73.46 of 100Reported as group

Quality

50.85

Improvement activities

40

Cost

77.09

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Rose Physical Therapy - West Little Rock LLC

  dba Blue Rose Physical Therapy - West Little Rock

  • Physical Therapy Clinic/Center
  • Little Rock, AR
  • NPI 1003636630

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Blue Rose Physical Therapy LLC

  dba Blue Rose Physical Therapy

  • Physical Therapy Clinic/Center
  • North Little Rock, AR
  • NPI 1902475684

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Cabot Physical Therapy

  • Physical Therapist
  • Cabot, AR
  • NPI 1194746438
  Medicare reassignment NPD

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1043791130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 CHENAL PARKWAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722117479",
            "telephone_number": "501-975-4040",
            "fax_number": "501-975-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 W MAIN ST STE B",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237479",
            "telephone_number": "501-605-8888",
            "fax_number": "501-605-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKETT",
        "first_name": "JACOB",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lofton, LAC
• Erin Logan, LPC
• Megan Leann Loney, LPC
• Madison Loter, PT, DPT
• Lori Lowe, REGISTERED NURSE
• Luke Audirsch Chiropractic PA
• Kimberly Luna
• Devyn Luzardo
• M & J Mental Health and Wellness
• Lydia Macfarlan, RDN

• Physical Therapist in Cabot, AR
• Providers in Cabot, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.