Active NPI
Luke Slama, PT, DPT
- Physical Therapist
- Carrollton, TX
National Provider Identifier
1205330297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1302005
- Practice address
- 4343 N Josey LN
Carrollton, TX 75010-4603 - Phone
- (972) 394-2232
- NPI assigned
- Mar 22, 2018
- Last updated
- Mar 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 1302005 | TX | Primary |
Addresses
Primary practice location
4343 N Josey LN
Carrollton, TX 75010-4603
Mailing address
4900 Pear Ridge Dr Apt 1308
Dallas, TX 75287-3113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
426 McCall Rd
A
Manhattan, KS 66502-5032
Phone (785) 776-0670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1302005 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maximum Functional Performance Inc | Physical Therapist | Current | Accepting new patients |
Locations
426 McCall Rd
#A
Manhattan, KS 66502
Phone (785) 776-0670
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Maximum Performance
- Physical Therapist
- Manhattan, KS
- NPI 1851445894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1205330297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 PEAR RIDGE DR APT 1308",
"city": "DALLAS",
"state": "TX",
"postal_code": "752873113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104603",
"telephone_number": "972-394-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAMA",
"first_name": "LUKE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-22",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1302005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.