Nicole Lucus, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015482 Issued in OH

Practice address

1905 Parsons Ave
Columbus, OH 43207-1933

Phone

(614) 859-1967

Fax

(614) 586-4252

NPI assigned

Jun 12, 2015

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

• Nicole Sieber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Columbus Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1710310594
  NPD

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1366823569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 AIRPORT DR STE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192289",
            "telephone_number": "614-859-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071933",
            "telephone_number": "614-859-1967",
            "fax_number": "614-586-4252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Bradenton Ave",
            "address_2": "suite b",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430177067",
            "country_code": "US",
            "telephone_number": "614-336-8733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCUS",
        "first_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "015482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SIEBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shana Nicole Lucius, CCC-SLP
• Brette Leah Luck, LIC. AC.
• Brooke Elizabeth Lucke, CNP
• Dairita Luckett
• Velecia Velita Luckette-Hairston, LPCC-S
• Carolyn Lucyshyn
• Porcha Ludaway
• Shannon Ludeman
• Drew Luder, PHARMD
• Casey Melissa Ludlow, RN

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.