Individual provider Active NPI

Lucas Lindsey

  • Physical Therapist
  • Pensacola, FL
National Provider Identifier
1063898542
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5401 Corporate Woods Dr Ste 300
Pensacola, FL 32504-8974
Phone
(850) 912-6840
NPI assigned
Aug 6, 2015
Last updated
Jan 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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 NU Primary

Addresses

Primary practice location

5401 Corporate Woods Dr Ste 300
Pensacola, FL 32504-8974

Mailing address

PO Box 441146
Kennesaw, GA 30160-9522
Phone (678) 459-3745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103001165 FL Practitioner - Physical Therapist in Private Practice 3779887153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Solutions of Pensacola, LLCGroup PAC ID 7517102973, 32 clinicians

Practice addresses (Care Compare)

5401 Corporate Woods Dr
Suite 300
Pensacola, FL 32504-8974
Phone (850) 912-6840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions of Pensacola LLC Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients
Bluewater Orthopedics PA CurrentSince May 1, 2022 Accepting new patients
Bluewater Orthopedics, P.a. CurrentSince May 1, 2022 Accepting new patients
Premier Rehab Management, LLC Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients
PT Solutions of Pensacola, LLC Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients
Premier Rehab Management, LLC Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients

Locations

120 E Redstone Ave
Ste B
Crestview, FL 32539
Phone (850) 398-8600

36474C Emerald Coast Pkwy
Ste 3101
Destin, FL 32541
Phone (850) 344-1646

8199 Navarre Pkwy
#12A
Navarre, FL 32566
Phone (850) 939-1233

1950 Bluewater Blvd
Ste 100
Niceville, FL 32578
Phone (850) 897-8081

5401 Corporate Woods Dr
Ste 300
Pensacola, FL 32504
Phone (850) 912-6840

236 Ponte Vedra Park Dr
Ste 300
Ponte Vedra Beach, FL 32082
Phone (904) 280-3440

249 Mack Bayou Loop
Ste 101
Santa Rosa Beach, FL 32459
Phone (850) 622-0842

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23855/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1063898542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441146",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301609522",
            "telephone_number": "678-459-3745",
            "fax_number": "678-567-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 CORPORATE WOODS DR STE 300",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048974",
            "telephone_number": "850-912-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "LUCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-06",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.