Lucas Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LUCAS PHYSICAL THERAPY INC

Practice address

4325 Brambleton Ave Ste a
Roanoke, VA 24018-3404

Phone

(540) 772-8022

Fax

(540) 772-0294

NPI assigned

Feb 7, 2007

Organization subpart

No

Name

Amanda Streeter

Title

Vice President

Phone

(800) 699-9395

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lucas Emg Specialists

  • Neurology Physical Therapist
  • Salem, VA
  • NPI 1982146270
  NPPES parent name

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shana H Dillow, PT, DPT, CERT. DN

  • Physical Therapist
  • Lynchburg, VA
  • NPI 1437662665
  Medicare reassignment Care Compare group NPD
• Christine Gibbs, PT

  • Physical Therapist
  • Roanoke, VA
  • NPI 1023810884
  Medicare reassignment Care Compare group NPD
• William Bays Gibson, DPT

  • Physical Therapist
  • Salem, VA
  • NPI 1043350291
  Medicare reassignment Care Compare group NPD
• Jed Gorman, DPT

  • Physical Therapist
  • Roanoke, VA
  • NPI 1346699170
  Medicare reassignment Care Compare group NPD
• Travis Herald, DPT

  • Physical Therapist
  • Salem, VA
  • NPI 1518449586
  Medicare reassignment Care Compare group NPD
• Parker Linden, PT

  • Physical Therapist
  • Roanoke, VA
  • NPI 1952293847
  Medicare reassignment Care Compare group NPD
• Angela M Reichardt, M.P.T.

  • Physical Therapist
  • Roanoke, VA
  • NPI 1902063100
  Medicare reassignment Care Compare group NPD
• Eric Christian Reichardt, M.P.T.

  • Physical Therapist
  • Roanoke, VA
  • NPI 1770689788
  Medicare reassignment Care Compare group NPD
• Trevor Stewart, DPT

  • Physical Therapist
  • Reston, VA
  • NPI 1982154746
  Medicare reassignment Care Compare group NPD
• Richard Tredinnick Jr.

  • Physical Therapist
  • Salem, VA
  • NPI 1265257687
  Medicare reassignment Care Compare group NPD
• Kyle A White, DPT

  • Physical Medicine & Rehabilitation Physician
  • Lexington, VA
  • NPI 1033697636

  VA

  Medicare reassignment Care Compare group NPD
• James W Burke Jr., MPT

  • Physical Therapist
  • Ronceverte, WV
  • NPI 1750467767

  Physical Therapist, VA

  Medicare reassignment Care Compare group NPD

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Lucas Therapies PC2 organizations share this tax ID

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• H2 Rehabilitation Services of Florida, LLC

  • Rehabilitation Clinic/Center
  • Jacksonville Beach, FL
  • NPI 1083282024
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: referrals@lucas-therapies-pc.direct.kno2fy.com

• Lucas Therapies PC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2023.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1285774745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311934912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 BRAMBLETON AVE STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183404",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Knotbreak Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241535404",
            "country_code": "US",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3960 Valley Gateway Blvd Ste A3",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240126859",
            "country_code": "US",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7226 Williamson Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240194264",
            "country_code": "US",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 McDowell Ave NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240161532",
            "country_code": "US",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Old Franklin Tpke Ste 121",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "VA",
            "postal_code": "241516368",
            "country_code": "US",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1967 Electric Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537424",
            "country_code": "US",
            "telephone_number": "540-772-8022",
            "fax_number": "540-772-0294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUCAS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-699-9395"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT # LOC 2",
            "identifier": "193434",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT # LOC 5",
            "identifier": "193442",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT # LOC 6",
            "identifier": "249624",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT # LOC 3",
            "identifier": "193437",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PT GROUP #",
            "identifier": "193431",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@lucas-therapies-pc.direct.kno2fy.com",
            "affiliation": "N",
            "address_1": "4325 Brambleton Ave Ste A",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240183404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lucas Therapies PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lucas Therapies PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eva S Lowey, SLP
• Ireen Loyola, CRNA
• Yaohua Lu, MD
• Jonathan Michael Lubeck, DMD
• Amanda Belanger Luby, MSN, RN, FNP-C
• Allison Gillespie Lucas, RPH
• Amy Irene Lucas, MSN, RN, CCNS, CCRNK
• Brenda Kay Lucas, RD
• Cathy Lucas, LPTA
• Harriett Demos Lucas, RPH

• All providers in Roanoke, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.