Individual provider Active NPI

Lucas T Frasher, PT, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1083112460
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007268 Issued in KY
Practice address
330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone
(859) 447-8600
Fax
(859) 447-8599
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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 007268 KY Primary

Addresses

Primary practice location

330 Waller Ave Ste 275
Lexington, KY 40504-2930

Mailing address

330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone (859) 447-8600

Other identifiers 1

IdentifierTypeStateIssuer
7100510250MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180220002049 KY Practitioner - Physical Therapist in Private Practice 5193086882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PhilanthroptGroup PAC ID 7113340043, 6 clinicians

Practice addresses (Care Compare)

107 Frazier CT
Suite 2C
Georgetown, KY 40324-9026
Phone (502) 735-1782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Philanthropt Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Agilitas USA Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

106 Osborne Way
Georgetown, KY 40324
Phone (502) 642-4228

107 Frazier Ct
Ste 2C
Georgetown, KY 40324
Phone (502) 735-1782

330 Waller Ave
Ste 275
Lexington, KY 40504
Phone (859) 447-8599

1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086

805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833

843 Eastern Byp
Ste 3
Richmond, KY 40475
Phone (859) 544-1770

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1083112460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WALLER AVE STE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042930",
            "telephone_number": "859-447-8600",
            "fax_number": "859-447-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WALLER AVE STE 275",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042930",
            "telephone_number": "859-447-8600",
            "fax_number": "859-447-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASHER",
        "first_name": "LUCAS",
        "middle_name": "T",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100510250",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.