Individual provider Active NPI

Carlton Wilson Lucas, PT

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1134084072
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH12564 Issued in AL
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

Updated by the provider on Dec 23, 2025

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 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 IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 0648293514, 9 clinicians

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

LicenseStateTypeSpecialty
PTH12564ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Fyzical Physical Therapist CurrentSince Jan 2, 2026 Accepting new patients
Tuscaloosa Ear Nose & Throat Center PC CurrentSince Jan 2, 2026 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.

Verify at the official NPI Registry.