Individual provider Active NPI

Michael J Santa Lucia, P.T.

  • Orthopedic Physical Therapist
  • Summerville, SC
National Provider Identifier
1154324077
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
8042 Issued in SC
Practice address
1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397
Phone
(843) 719-7473
Fax
(843) 279-3251
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 8042 SC Primary

Addresses

Primary practice location

1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397

Mailing address

1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397
Phone (843) 719-7473

Other practice location 1

3530 Park Avenue Blvd Ste 104
Mount Pleasant, SC 29466-7366
Phone (843) 491-4529

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200527001276 SC Practitioner - Physical Therapist in Private Practice 5193982080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1655 Cane Bay Blvd
Suite B
Summerville, SC 29486-2397
Phone (843) 719-7473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8042SCMDOrthopedic Physical Therapist
001132WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Above Physical Therapy LLC Physical Therapist CurrentSince Apr 20, 2020 Accepting new patients

Locations

431 Saint James Ave
Unit L212
Goose Creek, SC 29445

1655 Cane Bay Blvd
#B
Summerville, SC 29486
Phone (843) 719-7473

Organizations & group practices 1

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1154324077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 CANE BAY BLVD STE B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862397",
            "telephone_number": "843-719-7473",
            "fax_number": "843-279-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 CANE BAY BLVD STE B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294862397",
            "telephone_number": "843-719-7473",
            "fax_number": "843-279-3251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 Park Avenue Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294667366",
            "country_code": "US",
            "telephone_number": "843-491-4529",
            "fax_number": "843-279-3251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTA LUCIA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "8042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.