Mercedes Luke, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1268257 Issued in TX

Practice address

728 N Ferdon Blvd Ste 3
Crestview, FL 32536-2166

Phone

(850) 682-7772

NPI assigned

Dec 1, 2015

Last updated

Oct 7, 2019By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1083088116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N FERDON BLVD",
            "address_2": "STE 3",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362166",
            "telephone_number": "850-682-7772",
            "fax_number": "888-308-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 N FERDON BLVD STE 3",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362166",
            "telephone_number": "850-682-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21938 Royal Montreal Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774505142",
            "country_code": "US",
            "telephone_number": "281-944-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKE",
        "first_name": "MERCEDES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1268257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Michelle Long, LCSW
• Luis Angel Lopezrivera, M.D.
• Kate R Lops, MD
• Kassara Lynn Lozano, PTA
• J. Enrique Lujan, M.D.
• Lunas Home NP LLC
• Burgundy Chandelle Lunsford
• Genia Lynch
• Rachael Lyons, RN, CLC
• Heather Lynn Macadam, MD

• Physical Therapist in Crestview, FL
• Providers in Crestview, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.