Active NPI
Gamal H. Renteria-Lucius, RPT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1245392505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1939
- Practice address
- 5950 E 31St St
Tulsa, OK 74135-5114 - Phone
- (918) 851-5072
- Fax
- (918) 619-6077
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 20, 2007
- Sex
- Female
- 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 | 1939 | OK | Primary |
Addresses
Primary practice location
5950 E 31St St
Tulsa, OK 74135-5114
Mailing address
2318 S 109TH East Ave
Tulsa, OK 74129-5030
Phone (918) 851-5072
Other names 1
- Mrs. Gamal H. Lucius
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1939 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Rehab Services, Inc. | Past | Accepting new patients | |
| Microvas Treatment Centers of America | Past | Accepting new patients | |
| Envida Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Tulsa, OK
- NPI 1972831550
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Sapulpa, OK
- NPI 1487768602
-
- Legal Medicine
- Tulsa, OK
- NPI 1689875213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1245392505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 S 109TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741295030",
"telephone_number": "918-851-5072",
"fax_number": "918-619-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 E 31ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741355114",
"telephone_number": "918-851-5072",
"fax_number": "918-619-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTERIA-LUCIUS",
"first_name": "GAMAL",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "1939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GAMAL",
"last_name": "LUCIUS",
"middle_name": "H.",
"prefix": "MRS.",
"credential": "RPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.