Nicholas Thomas Aivars Lukasevics, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5862 Issued in NC

Practice address

5229 Appomattox Rd
Pleasant Garden, NC 27313-8202

Phone

(336) 674-2252

NPI assigned

Oct 16, 2018

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1265908354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 ABBOTTS CREEK CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5229 APPOMATTOX RD",
            "city": "PLEASANT GARDEN",
            "state": "NC",
            "postal_code": "273138202",
            "telephone_number": "336-674-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASEVICS",
        "first_name": "NICHOLAS",
        "middle_name": "THOMAS AIVARS",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Keaton, SLP
• Marvin Theadore Keaton III, MA, LCMHCS, LCAS,CSI
• Donald Eric Kropski, COTA/L
• Londry & Modlin XV DDS PLLC
• Sybil Lucas, PTA
• Karen Meadows, LCMHCA
• Midelu Incorporated
• Katiuska Duarte Morgan
• Anya Murphy-Parker, LCSWA
• Neighborhood Home Care, LLC

• Physical Therapy Assistant in Pleasant Garden, NC
• Providers in Pleasant Garden, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.