Lucas Ackermann, DPT
Individual provider Active NPI Physical Therapist · Johnston, RI
NPI 1336826320 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1336826320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1539 Atwood Ave
Johnston, RI 02919-3262 - Phone
- (401) 351-0515
- Fax
- (401) 351-0530
- NPI assigned
- Jun 30, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pappas Physical Therapy LLC
Practice addresses (Care Compare)
1539 Atwood Ave
Suite 202
Johnston, RI 02919-3262
Phone (401) 351-0515
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230821001469 | RI | Practitioner - Physical Therapist in Private Practice | 7719349992 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pappas Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Pappas Physical Therapy LLC | Current |
Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-1016
1539 Atwood Ave
Ste 202
Johnston, RI 02919
Phone (401) 351-0515
1539 Atwood Ave
Johnston, RI 02919
Phone (401) 272-3410
1539 Atwood Ave
Ste 204
Johnston, RI 02919
Phone (401) 351-0515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1539 Atwood Ave
Johnston, RI 02919-3262
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 573-3282
Other providers in Johnston, RI
- A Pediatric Evolution, LLC.
- Joseph Riad Absi
- Absolute Respiratory Care LLC
- Absolute Respiratory Care, Inc.
- Accu RX, Inc.
- Judith Adewuyi
- Af Legacy LLC
- Agape Dermatology of Johnston LLC
- Agape Dermatology of Johnston LLC
- Agape Homes of Rhode Island LLC
All providers in Johnston, RI · Physical Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.