Active NPI
Lucas Brady, PT
- Physical Therapist
- Newark, DE
National Provider Identifier
1255010047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003802
- Practice address
- 540 S College Ave Ste 160
Newark, DE 19713-1302 - Phone
- (302) 831-8893
- NPI assigned
- Jul 18, 2023
- Sex
- Male
- Sole proprietor
- No
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 | J1-0003802 | DE | Primary |
Addresses
Primary practice location
540 S College Ave Ste 160
Newark, DE 19713-1302
Mailing address
4942 Grant Dr
Brookhaven, PA 19015-1030
Phone (302) 388-7561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
540 S College Ave
Suite 160
Newark, DE 19713-1302
Phone (302) 831-8893
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ud Health LLC | Current | Accepting new patients | |
| Ud Health LLC | Physical Therapist | Current | Accepting new patients |
| Ud Health LLC | Current | Accepting new patients |
Locations
540 S College Ave
Ste 160
Newark, DE 19713
Phone (302) 831-3000
Interoperability endpoints
- lucas.brady.p1@direct.udel.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Health Educator
- Newark, DE
- NPI 1588382535
-
- Clinical Psychologist
- Newark, DE
- NPI 1821989856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1255010047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4942 GRANT DR",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190151030",
"telephone_number": "302-388-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 S COLLEGE AVE STE 160",
"city": "NEWARK",
"state": "DE",
"postal_code": "197131302",
"telephone_number": "302-831-8893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "LUCAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-18",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.