NPIMap

Organization Active NPI

Lucas Physical Therapy and Fitness Inc

  • Physical Therapy Clinic/Center
  • Sunnyvale, CA
National Provider Identifier
1154377596
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LUCAS PHYSICAL THERAPY AND FITNESS INC
Practice address
1322 S Mary Ave
Sunnyvale, CA 94087-3165
Phone
(408) 774-1424
Fax
(408) 774-0851
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Roland N Lucas, PT
Title
Owner
Phone
(408) 774-1424

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Physical Therapy Clinic/Center 261QP2000X CA Primary

Addresses

Primary practice location

1322 S Mary Ave
Sunnyvale, CA 94087-3165

Mailing address

1322 S Mary Ave
Sunnyvale, CA 94087-3165
Phone (408) 774-1424

Other names 1

  • Australian Physical Therapy Specialists, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

609 Cowper St
Palo Alto, CA 94301
Phone (408) 774-1424

1322 S Mary Ave
Sunnyvale, CA 94087
Phone (408) 774-1424

1055 Sunnyvale Saratoga Rd
Ste 6
Sunnyvale, CA 94087
Phone (408) 774-1414

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1154377596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 S MARY AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873165",
            "telephone_number": "408-774-1424",
            "fax_number": "408-774-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 S MARY AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873165",
            "telephone_number": "408-774-1424",
            "fax_number": "408-774-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS PHYSICAL THERAPY AND FITNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-774-1424",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Australian Physical Therapy Specialists, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.