Lucas Lin Chang, PT, DPT, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

27504 Issued in MD

Practice address

9030 State Route 108 Ste B
Columbia, MD 21045-1990

Phone

(410) 989-3833

Fax

(443) 842-5766

NPI assigned

Jun 10, 2019

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 MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Maryland School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True Sports Physical Therapy, LLCGroup PAC ID 5496975849, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lucas.chang.1@3812.direct.athenahealth.com

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.

• True Sports Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1114357340

  MD, Orthopedic

  Medicare reassignment Care Compare group NPD
• True Sports Physical Therapy 2, LLC

  • Physical Therapy Clinic/Center
  • Woodbine, MD
  • NPI 1023539178
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1053970335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 GREENSPRING DR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933114",
            "telephone_number": "410-989-3833",
            "fax_number": "443-842-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 STATE ROUTE 108 STE B",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451990",
            "telephone_number": "410-989-3833",
            "fax_number": "443-842-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "LUCAS",
        "middle_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "27504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diona Marie Chan
• Chanel Chance
• Lisa Chance, R090138
• Wadeehal Chandler
• Eric Chang, MD
• Tynette Chang, BCBA
• Rebecca Chaousis
• Joan Chaplin, RN
• Jordan Chapman
• Lauren Reed Chapman, LCPC

• Orthopedic Physical Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.