Active NPI
Carlton Wilson Lucas, PT
- Physical Therapist
- Tuscaloosa, AL
National Provider Identifier
1134084072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH12564
- Practice address
- 1300 McFarland Blvd NE Ste 150
Tuscaloosa, AL 35406-2283 - Phone
- (205) 758-9041
- Fax
- (205) 345-8328
- NPI assigned
- Dec 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH12564 | AL | Primary |
Addresses
Primary practice location
1300 McFarland Blvd NE Ste 150
Tuscaloosa, AL 35406-2283
Mailing address
1300 McFarland Blvd NE Ste 150
Tuscaloosa, AL 35406-2283
Phone (205) 758-9041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260108003648 | AL | Practitioner - Physical Therapist in Private Practice | 8729564794 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tuscaloosa Ear Nose and Throat Center PC
Practice addresses (Care Compare)
1300 McFarland Blvd NE
Suite 150
Tuscaloosa, AL 35406-2283
Phone (205) 758-9041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH12564 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Fyzical | Physical Therapist | Current | Accepting new patients |
| Tuscaloosa Ear Nose & Throat Center PC | Current | Accepting new patients |
Locations
4280 Watermelon Rd
Ste 113
Northport, AL 35473
Phone (205) 349-2525
1300 McFarland Blvd NE
Ste 150
Tuscaloosa, AL 35406
Phone (205) 758-9041
Organizations & group practices 2
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": "1766448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1134084072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MCFARLAND BLVD NE STE 150",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062283",
"telephone_number": "205-758-9041",
"fax_number": "205-345-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MCFARLAND BLVD NE STE 150",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354062283",
"telephone_number": "205-758-9041",
"fax_number": "205-345-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "CARLTON",
"middle_name": "WILSON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-23",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH12564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.