Kyle Andrew Lucca, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070023726 Issued in IL

Practice address

2508 Saint James Rd
Springfield, IL 62707-9736

Phone

(217) 747-5901

NPI assigned

Aug 14, 2018

Last updated

Aug 14, 2018By the provider in NPPES

Sex

Male

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Illinois, LLC

  • Occupational Therapist
  • Edwardsville, IL
  • NPI 1679098263

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Belleville, IL
  • NPI 1174118103

  Physical Therapist

  Medicare reassignment NPD
• Empowerme Rehabilitation Illinois, LLC

  • Rehabilitation Clinic/Center
  • Mount Carmel, IL
  • NPI 1962073734

  Physical Therapist

  NPD
• Empowerme Wellness Kansas City, LLC

  • Rehabilitation Clinic/Center
  • Liberty, MO
  • NPI 1174299044
  NPD

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1326528936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAKLAND DR",
            "city": "RIVERTON",
            "state": "IL",
            "postal_code": "625619629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 SAINT JAMES RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627079736",
            "telephone_number": "217-747-5901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 S Main St",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "IL",
            "postal_code": "626297400",
            "country_code": "US",
            "telephone_number": "217-697-5415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627117917",
            "country_code": "US",
            "telephone_number": "217-787-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Park Ave",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "IL",
            "postal_code": "626291164",
            "country_code": "US",
            "telephone_number": "217-483-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCCA",
        "first_name": "KYLE",
        "middle_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle E. Lucas, CRNA
• Pamela M Lucas, LCSW BCD
• Dawn M Lucasey, P.T.
• Anthony Jared Lucca, PA-C
• Jessica E Lucca, AGACNP-BC
• Kelly Ann Luciano, M.D.
• Deja Luckett
• Charles L Lucore, M.D.
• Mary Ludolph, MD
• Leo K Ludwig, MD

• Physical Therapist in Springfield, IL
• Providers in Springfield, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.

Verify at the official NPI Registry.