Active NPI
Luke Edward Partusch, MA, LAT, ATC, CSCS
- Athletic Trainer
- La Vista, NE
National Provider Identifier
1396520227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1270
- Practice address
- 14565 Portal Cir Ste 103
La Vista, NE 68138-6624 - Phone
- (402) 253-4522
- NPI assigned
- Aug 29, 2023
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1270 | NE | Primary |
Addresses
Primary practice location
14565 Portal Cir Ste 103
La Vista, NE 68138-6624
Mailing address
14610 Margo St
Omaha, NE 68138-6446
Phone (402) 960-7348
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1396520227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14610 MARGO ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681386446",
"telephone_number": "402-960-7348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14565 PORTAL CIR STE 103",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681386624",
"telephone_number": "402-253-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTUSCH",
"first_name": "LUKE",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "MA, LAT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-29",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "1270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.