Individual provider Active NPI

Dean Roxanne T Luche, PHYSICAL THERAPIST

  • Physical Therapist
  • Evans, GA
National Provider Identifier
1043927361
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048148 Issued in NY
Practice address
415 Town Park Blvd
Evans, GA 30809-3487
Phone
(706) 868-1707
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018286 GA
Physical Therapist 225100000X 048148 NY Primary

Addresses

Primary practice location

415 Town Park Blvd
Evans, GA 30809-3487

Mailing address

415 Town Park Blvd
Evans, GA 30809-3487

Other practice location 1

150 Main St
Thomson, GA 30824-2662
Phone (706) 868-1707

Other practice location 2

123 Harmony Xing Ste 5
Eatonton, GA 31024-9528
Phone (706) 454-1811

Other practice location 3

1001 Village Park Dr Ste 105
Greensboro, GA 30642-5101
Phone (706) 868-1707

Other practice location 4

5003 Steiner Way Ste 2
Grovetown, GA 30813-5018
Phone (706) 868-1707

Other practice location 5

2115 Windsor Spring Rd Ste 230
Augusta, GA 30906-4855
Phone (706) 860-5888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215002343 NY Practitioner - Physical Therapist in Private Practice 5597134478 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tamayo Physical Therapy PCGroup PAC ID 5890839369, 8 clinicians

Practice addresses (Care Compare)

3 E 65TH St
Apt 4a
New York, NY 10065-6551
Phone (212) 535-2621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048148NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Rehabilitation Services, LLC Physical Therapist CurrentSince Jun 15, 2026 Accepting new patients
Chung Ying Physical Therapy and Acupuncture PC Physical Therapist CurrentSince Nov 27, 2022 Accepting new patients
Tamayo Physical Therapy P.C. Physical Therapist CurrentSince Sep 20, 2023 Accepting new patients
Physical Therapy of the City PC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Solar Health Physical Therapy and Acupuncture P.C. Physical Therapist CurrentSince Nov 27, 2022 Accepting new patients
Bienetre Medical PC Physical Therapist PastSince Jan 1, 2025 Accepting new patients

Locations

415 Town Park Blvd
Evans, GA 30809
Phone (706) 690-4372

5003 Steiner Way
Ste 2
Grovetown, GA 30813

833 58th St
Brooklyn, NY 11220
Phone (718) 290-2919

339 Kings Hwy
Brooklyn, NY 11223
Phone (347) 274-8591

623 Stewart Ave
Ste 100
Garden City, NY 11530
Phone (516) 464-6888

3097 Steinway St
Long Is City, NY 11103
Phone (718) 545-5100

3 E 65th St
Apt 4A
New York, NY 10065
Phone (212) 535-2621

Organizations & group practices 6

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1043927361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 TOWN PARK BLVD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093487",
            "telephone_number": "706-868-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Main St",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308242662",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Harmony Xing Ste 5",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310249528",
            "country_code": "US",
            "telephone_number": "706-454-1811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Village Park Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306425101",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5003 Steiner Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308135018",
            "country_code": "US",
            "telephone_number": "706-868-1707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Windsor Spring Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309064855",
            "country_code": "US",
            "telephone_number": "706-860-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCHE",
        "first_name": "DEAN ROXANNE",
        "middle_name": "T",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018286",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.