Luke Randall Dewitt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6126 Issued in NM

Practice address

2400 Farmington Ave
Farmington, NM 87401-4509

Phone

(505) 326-0064

Fax

(505) 327-3995

NPI assigned

Jan 31, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapy One Inc

  • Physical Therapist
  • Farmington, NM
  • NPI 1770596116
  Medicare reassignment NPD
• Nexus Health Physical Therapy Inc

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1427810571
  NPD

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1164285482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 APPLEWOOD DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874023041",
            "telephone_number": "928-292-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014509",
            "telephone_number": "505-326-0064",
            "fax_number": "505-327-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "LUKE",
        "middle_name": "RANDALL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT6126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Hills Dental Care, LLC
• Desert Hills Dental Group
• Desert Hope Counseling Services LLC
• Desert View, Inc.
• David Gustad Devitre, DO
• Taylor Dexel
• Tejwant Singh Dhillon, M.D.
• Diane W Williams PSYD PC D/B/a Integrative Mental Health
• Alton Aaron Dickson, P.T.A.
• Richard Grenville Diedrich, MD

• Physical Therapist in Farmington, NM
• Providers in Farmington, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.