Lacy Ames Tucker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6081 Issued in SC

Practice address

103 Canoy LN
Suite 113
Clemson, SC 29631-3153

Phone

(864) 654-2001

Fax

(800) 305-7112

NPI assigned

Nov 3, 2010

Last updated

Nov 3, 2010By 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

Other names 1

• Lacy Ames Bankston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Excel Rehabilitation and Sports

  dba Excel Rehabilitation and Sports Enhancement LLC

  • Physical Therapist
  • Clemson, SC
  • NPI 1740358324
  NPD (past)
• Excel Rehabilitation and Sports

  dba Accelerated Physical Therapy

  • Physical Therapist
  • Greenville, SC
  • NPI 1952272379
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1356642656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CANOY LN",
            "address_2": "SUITE 113",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296313153",
            "telephone_number": "864-654-2001",
            "fax_number": "800-305-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CANOY LN",
            "address_2": "SUITE 113",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296313153",
            "telephone_number": "864-654-2001",
            "fax_number": "800-305-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "LACY",
        "middle_name": "AMES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACY",
            "last_name": "BANKSTON",
            "middle_name": "AMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shari M Tonks, MD
• Melissa Bull Toole, CCC-SLP
• Jeffie Trammell, ATC
• Tri-County Choice Hospice and Palliative Care, LLC
• Anthony Joseph Tridico Jr., MD
• Sallie Bromby Turnbull, MED
• April Lynn Turner
• Elisa Christine Turner, DPT
• Jeremy Ryan Turner, DPT
• Kelly Leahy Turney, ATC

• Physical Therapist in Clemson, SC
• Providers in Clemson, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.