Active NPI
Lucas Dewayne Thompson, PT, DPT
- Physical Therapist
- Alliance, NE
National Provider Identifier
1154886059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3906
- Practice address
- 2101 Box Butte Ave
Alliance, NE 69301 - Phone
- (308) 761-3372
- NPI assigned
- Feb 5, 2019
- 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 | 3906 | NE | Primary |
Addresses
Primary practice location
2101 Box Butte Ave
Alliance, NE 69301
Mailing address
718 Emerson Ave
Alliance, NE 69301-2839
Phone (515) 402-7528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3906 | NE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1154886059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 EMERSON AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "693012839",
"telephone_number": "515-402-7528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 BOX BUTTE AVE",
"city": "ALLIANCE",
"state": "NE",
"postal_code": "69301",
"telephone_number": "308-761-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "LUCAS",
"middle_name": "DEWAYNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-05",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "3906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alliance, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.