Meghan Luczkowski, PT, DPT, LAT, ATC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

2021034182 Issued in MO

Practice address

701 S New Ballas Rd
Saint Louis, MO 63141-8702

Phone

(317) 260-8722

NPI assigned

Sep 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1174138101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 PRATHER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393651",
            "telephone_number": "317-260-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418702",
            "telephone_number": "317-260-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCZKOWSKI",
        "first_name": "MEGHAN",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002790A",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2021037359",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MO",
            "license": "2021034182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Pearl Mei-Jan Lucido, NP
• Lucilles Helpping Hands
• Laurie L Luck, CRNA
• Lucy'S Trusted Homecare, LLC.
• Angela Luczaj, CRNA
• Philip A Ludbrook, MD
• Micah John Luderer, MD, PHD
• Kenneth M Ludmerer, MD
• Sara M Ludvik, NP
• Daniel Ryder Ludwig, MD

• Sports Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Sports Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.