Cody Lucas, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

004395 Issued in OH

Practice address

300 College Park Ave
Dayton, OH 45469-0001

Phone

(937) 229-4437

NPI assigned

Aug 26, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• University of Dayton

  • Student Health Clinic/Center
  • Dayton, OH
  • NPI 1770656050
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1073980934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 CASA BLVD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233424",
            "telephone_number": "614-634-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLLEGE PARK AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454690001",
            "telephone_number": "937-229-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CODY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "004395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela K Lu, FNP
• Herodina Ibanez Lu, PA-C
• Amy L. Lubatti, LMT
• Brock Lubbers, PEER SUPPORT
• Ashley Nicole Lucas, MASW, LSW
• Demetrious D Lucas, CM
• Erica Leigh Lucas
• Kendra Jackalyn Lucas, PT, DPT, NBC-HWC
• Nathaniel Luce, PHARMD, RPH
• Julia Immaculata Lucente, M.D.

• Athletic Trainer in Dayton, OH
• Providers in Dayton, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.