Jessica Lucas, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01773100 Issued in NJ

Practice address

707 N Main St Ste 1
Glassboro, NJ 08028-1670

Phone

(856) 307-9700

NPI assigned

Nov 17, 2016

Last updated

Aug 12, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1255873550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281605",
            "telephone_number": "856-307-9700",
            "fax_number": "856-307-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MAIN ST STE 1",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281670",
            "telephone_number": "856-307-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01773100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beth Etta Magee-Siefert, MSN APN CPNP
• Maria William Mahrous-Elgendi, DPT
• Jennifer I Maines, PA
• Douglas Mann, ATC
• Mario Joseph Marchetti III

• Physical Therapist in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.