Active NPI
Kevin Lucas, PT
- Physical Therapist
- Roanoke, VA
National Provider Identifier
1376340398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23052114871
- Practice address
- 2331 Franklin Rd SW
Roanoke, VA 24014-1111 - Phone
- (540) 981-8050
- NPI assigned
- Feb 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23052114871 | VA | Primary |
Addresses
Primary practice location
2331 Franklin Rd SW
Roanoke, VA 24014-1111
Mailing address
3600 Richmond LN Apt B
Blacksburg, VA 24060-4374
Phone (703) 398-5923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23052114871 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1376340398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 RICHMOND LN APT B",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240604374",
"telephone_number": "703-398-5923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 FRANKLIN RD SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240141111",
"telephone_number": "540-981-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "KEVIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "23052114871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.