Active NPI
Gabriella Lucini, DPT
- Physical Therapist
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13362
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29958 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Sports Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| South Carolina Sports Medicine & Orthopaedic Center | Current | 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
- 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.
-
- Physical Therapy Clinic/Center
- Baltimore, MD
- NPI 1114357340
Physical Therapist
-
- Sports Medicine (Orthopaedic Surgery) Physician
- N Charleston, SC
- NPI 1922111715
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.