Active NPI
Michael J Santa Lucia, P.T.
- Orthopedic Physical Therapist
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 8042
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8042 | SC | MD | Orthopedic Physical Therapist |
| 001132 | WV | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Above Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Summerville, SC
- NPI 1366062127
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.