Active NPI
Lucas Edmund Pratt, DPT
- Orthopedic Physical Therapist
- Del Mar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 39584
- Practice address
- 12865 Pointe del Mar Way Ste 190
Del Mar, CA 92014-3860 - Phone
- (844) 316-7979
- Fax
- (866) 813-1235
- NPI assigned
- Nov 21, 2012
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 39584 | CA | Primary |
Addresses
Primary practice location
12865 Pointe del Mar Way Ste 190
Del Mar, CA 92014-3860
Mailing address
7525 Metropolitan Dr Ste 1306
San Diego, CA 92108-4411
Phone (844) 316-7979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39584 | Other | CA | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6221 Metropolitan St
Suite 101
Carlsbad, CA 92009-3096
Phone (760) 707-5080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39584 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaspar Physical Therapy a Professional Corporation | Orthopedic | Current | Accepting new patients |
| Gaspar Physical Therapy a Professional Corporation | Current | Accepting new patients | |
| Water and Sports Physical Therapy | Past | Accepting new patients | |
| Spinezone Medical Fitness, Inc. | Orthopedic | Past | Accepting new patients |
| Gaspar Physical Therapy a Professional Corporation | Past | Accepting new patients | |
| Livara Health Medical Group NJ, PC | Past | Accepting new patients |
Locations
6221 Metropolitan St
Ste 101
Carlsbad, CA 92009
Phone (760) 632-6942
3809 Plaza Dr
Ste 112
Oceanside, CA 92056
Phone (760) 941-2630
3609 Ocean Ranch Blvd
Ste 201
Oceanside, CA 92056
Phone (760) 941-2630
981 Lomas Santa Fe Dr
Ste A
Solana Beach, CA 92075
Phone (858) 794-9995
Organizations & group practices 6
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.
-
- Specialist
- Carlsbad, CA
- NPI 1952544405
Orthopedic
-
- Specialist
- Encinitas, CA
- NPI 1528274495
-
- Physical Therapist
- Oceanside, CA
- NPI 1841423613
-
- Physical Therapist
- San Diego, CA
- NPI 1861282691
-
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
- NPI 1588085625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1407190937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 METROPOLITAN DR STE 1306",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084411",
"telephone_number": "844-316-7979",
"fax_number": "866-813-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12865 POINTE DEL MAR WAY STE 190",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920143860",
"telephone_number": "844-316-7979",
"fax_number": "866-813-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "LUCAS",
"middle_name": "EDMUND",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-21",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "39584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "39584",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.