Individual provider Active NPI

Samantha Lucey, DPT

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1104437284
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP026906T Issued in SC
Practice address
4812 Bluffton Pkwy
Bluffton, SC 29910-4602
Phone
(843) 837-5236
Fax
(843) 837-1004
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP026906T SC Primary
Physical Therapist 225100000X P19742 NC

Addresses

Primary practice location

4812 Bluffton Pkwy
Bluffton, SC 29910-4602

Mailing address

4812 Bluffton Pkwy
Bluffton, SC 29910-4602
Phone (843) 837-5236

Other practice location 1

4140 Ferncreek Dr Ste 801
Fayetteville, NC 28314-2572
Phone (910) 484-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210715002367 NC Practitioner - Physical Therapist in Private Practice 6901208743 Reassigns benefits to 1 organization
I20240126003463 SC Practitioner - Physical Therapist in Private Practice 6901208743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort Orthopaedic Sports and Spine Center LLCGroup PAC ID 1355301771, 48 clinicians

Practice addresses (Care Compare)

4812 Bluffton Pkwy
Bluffton, SC 29910-4602
Phone (843) 837-4300

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
57.41
Promoting interoperability
100
Improvement activities
40
Cost
80.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Jan 5, 2024 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Jan 5, 2024 Accepting new patients
Cape Fear Orthopaedic Clinic, PA Physical Therapist CurrentSince Jun 2, 2021 Accepting new patients
Cape Fear Orthopaedic Clinic, P.a. Physical Therapist CurrentSince Jun 2, 2021 Accepting new patients

Locations

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1076 Ribaut Rd
Ste 101
Beaufort, SC 29902
Phone (843) 525-0045

4812 Bluffton Pkwy
Bluffton, SC 29910
Phone (843) 837-4300

Interoperability endpoints

  • Direct secure messaging: samantha.lucey.p1@direct.capefearortho.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1104437284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 BLUFFTON PKWY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104602",
            "telephone_number": "843-837-5236",
            "fax_number": "843-837-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 BLUFFTON PKWY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104602",
            "telephone_number": "843-837-5236",
            "fax_number": "843-837-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 Ferncreek Dr Ste 801",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283142572",
            "country_code": "US",
            "telephone_number": "910-484-2171",
            "fax_number": "910-484-4568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCEY",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP026906T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.