Kenneth Luczejko, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019216 Issued in PA

Practice address

5848 Old Bethlehem Pike
Suite 102
Center Valley, PA 18034-9341

Phone

(610) 282-2600

Fax

(610) 282-3227

NPI assigned

Nov 20, 2008

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.

• St. Luke'S Quakertown Hospital

  • Physical Therapy Clinic/Center
  • Center Valley, PA
  • NPI 1821311515
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1083869895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CHERRY LN",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180159540",
            "telephone_number": "484-851-3386",
            "fax_number": "484-851-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 OLD BETHLEHEM PIKE",
            "address_2": "SUITE 102",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349341",
            "telephone_number": "610-282-2600",
            "fax_number": "610-282-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCZEJKO",
        "first_name": "KENNETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hammad Liaquat, MD
• Cayanne Liew
• Lifetime Eyecare Professionals PC
• Tammy Marie Lippincott, CRNP (FAMILY)
• Angela Longo, PA
• Luxottica of America Inc.
• Stewart Michael Maloney, LPC
• Daniel Joseph Marant
• Brianna Mathews, DPT
• Robert W Mauthe, M.D.

• Physical Therapist in Center Valley, PA
• Providers in Center Valley, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.