Active NPI
Brooke Lucas, DPT
- Physical Therapist
- Middleburg, FL
National Provider Identifier
1063018414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36144
- Practice address
- 1658 St Vincents Way Ste 100B
Middleburg, FL 32068-8459 - Phone
- (904) 214-3313
- NPI assigned
- Dec 10, 2020
- Last updated
- Mar 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT36144 | FL | Primary |
Addresses
Primary practice location
1658 St Vincents Way Ste 100B
Middleburg, FL 32068-8459
Mailing address
3126 Magnolia Rd
Orange Park, FL 32065-6915
Phone (904) 864-7111
Other practice location 1
3470 Royal Pines Dr
Ste 101
Middleburg, FL 32068
Phone (904) 214-3313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36144 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy & Rehabilitation Clinic Inc | Past | Accepting new patients | |
| Physical Therapy and Rehabiliation Clinic Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Orange Park, FL
- NPI 1386618064
-
dba Fleming Island Orthopedic and Sports Physical Therapy
- Physical Therapist
- Orange Park, FL
- NPI 1508929779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1063018414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 MAGNOLIA RD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320656915",
"telephone_number": "904-864-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1658 ST VINCENTS WAY STE 100B",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320688459",
"telephone_number": "904-214-3313"
}
],
"practiceLocations": [
{
"address_1": "3470 ROYAL PINES DR",
"address_2": "STE 101",
"address_purpose": "LOCATION",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "32068",
"country_code": "US",
"telephone_number": "904-214-3313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "BROOKE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg, FL
- Mikhail Lobatos, LMHC
- Angela G Locklear, ARNP
- Marco B Long Sr.
- Chelsey Lossen
- LP SW Jacksonville, LLC (Signature Healthcare of Middleburg Rehabilitation and Wellness Center)
- Luciano Urgent Care
- Lucianos Urgent Care
- Roly Machado, PHARMD
- Margaret a Allen OD PA (VAL-Uvision at Branan Field)
- Rosana Marquez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.