Damian Loucks

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61460795 Issued in WA

Practice address

501 N Navajo Dr
Page, AZ 86040-0959

Phone

(928) 645-2424

NPI assigned

Sep 11, 2023

Last updated

Aug 26, 2026By the provider in NPPES

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 WA, AZ2 enrollments

Enrollment records 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foothills Sports Medicine & Rehabilitation, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1558318170
  Medicare reassignment NPD
• Kitsap Physical Therapy and Sports Clinic PS Inc

  • Physical Therapist
  • Silverdale, WA
  • NPI 1912902347
  Medicare reassignment NPD
• Northwest Center for Sports Medicine & Physical Therapy Inc

  dba Northwest Sports Physical Therapy

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1982755070
  Medicare reassignment NPD
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Hospital

  • Critical Access Hospital
  • Snoqualmie, WA
  • NPI 1902846546
  Medicare reassignment NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1073224267
  NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  dba ProActive Physical Therapy

  • Physical Therapist
  • Tucson, AZ
  • NPI 1699405050
  NPD
• Kitsap Physical Therapy and Sports Clinic PS Inc

  • Durable Medical Equipment & Medical Supplies
  • Kingston, WA
  • NPI 1700466083

  Physical Therapist

  NPD
• Public Hospital District No 4 King County Washington

  dba Snoqualmie Valley Health Clinic

  • Rural Health Clinic/Center
  • Snoqualmie, WA
  • NPI 1558869289
  NPD
• Public Hospital District No 4, King County Wa

  dba Public Hospital District No 4 Clinic

  • Family Medicine Physician
  • Snoqualmie, WA
  • NPI 1144432634

  Physical Therapist

  NPD
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  dba Northwest Sports Physical Therapy, Inc.

  • Physical Therapist
  • Tacoma, WA
  • NPI 1225582844
  NPD (past)
• Peak Sports & Spine Physical Therapy-Klahanie PS

  • Physical Therapy Clinic/Center
  • Sammamish, WA
  • NPI 1154655215
  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1215714407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N NAVAJO DR",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400959",
            "telephone_number": "928-645-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N NAVAJO DR",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400959",
            "telephone_number": "928-645-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUCKS",
        "first_name": "DAMIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61460795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lewandowski, PHARMD
• Julie A Lindholm, MD
• Christopher Linskey, M.D.
• Mark Longo, RPH
• John W. Loosle, MSW
• Dylan Vuduy Ly, PHARMD
• Ronald Grant Macdonald Jr., LPC, LISAC
• Mallavia OD PC
• David F Mallavia, OD
• Jeanie Manson, LISAC

• Physical Therapist in Page, AZ
• Providers in Page, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.