Individual provider Active NPI

Joanne Marie Luciano, PT, MHS

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1376682419
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003126 Issued in KY
Practice address
4451 Tangle Hurst LN
Lexington, KY 40515-6322
Phone
(859) 913-6549
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003126 KY Primary

Addresses

Primary practice location

4451 Tangle Hurst LN
Lexington, KY 40515-6322

Mailing address

4451 Tangle Hurst LN
Lexington, KY 40515-6322
Phone (859) 913-6549

Other identifiers 2

IdentifierTypeStateIssuer
7100147060MedicaidKY
1335OtherKYFIRST STEPS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000971 KY Practitioner - Physical Therapist in Private Practice 7810180932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003126KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Aug 9, 2019 Accepting new patients
We Care Therapy Past Accepting new patients
Pediatric and Adult Therapy Associates Incorporated Physical Therapist Past Accepting new patients
University of Kentucky Past Accepting new patients

Locations

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533

290 Alumni Dr
Lexington, KY 40503
Phone (859) 218-2322

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1376682419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 TANGLE HURST LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156322",
            "telephone_number": "859-913-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 TANGLE HURST LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156322",
            "telephone_number": "859-913-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIANO",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT, MHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100147060",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS NUMBER",
            "identifier": "1335",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.