Individual provider Active NPI

Gabriella Lucini, DPT

  • Physical Therapist
  • Summerville, SC
National Provider Identifier
1407693195
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13362 Issued in SC
Practice address
4528 Ladson Rd
Summerville, SC 29485-8531
Phone
(843) 419-6393
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29958 MD
Physical Therapist 225100000X 13362 SC Primary

Addresses

Primary practice location

4528 Ladson Rd
Summerville, SC 29485-8531

Mailing address

1458 Roustabout Way
Charleston, SC 29414-8053
Phone (443) 547-5126

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001002434 MD Practitioner - Physical Therapist in Private Practice 6901337963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Sports Physical Therapy, LLCGroup PAC ID 5496975849, 60 clinicians
South Carolina Sports Medicine and Orthopaedic CenterGroup PAC ID 8527972637, 43 clinicians

Practice addresses (Care Compare)

10 S Hays St
Bel Air, MD 21014-3650
Phone (443) 616-2522

2760 Tricom St
North Charleston, SC 29406-9169
Phone (843) 300-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29958MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
True Sports Physical Therapy, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
South Carolina Sports Medicine & Orthopaedic Center CurrentSince Apr 27, 2026 Accepting new patients

Locations

710 S Ann St
Fl 2
Baltimore, MD 21231
Phone (667) 401-8847

2240 Greenspring Dr
Timonium, MD 21093
Phone 4109893833 ext. 2

2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1407693195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 ROUSTABOUT WAY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148053",
            "telephone_number": "443-547-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 LADSON RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858531",
            "telephone_number": "843-419-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCINI",
        "first_name": "GABRIELLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29958",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.

Verify at the official NPI Registry.