Grant Luecke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16722-24 Issued in WI

Practice address

416 E Verona Ave
Verona, WI 53593-1227

Phone

(608) 848-6628

Fax

(608) 848-6629

NPI assigned

Jul 12, 2024

Last updated

Jul 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Physicians, LLPGroup PAC ID 7719953306, 25 clinicians

Capitol Physical Therapy Specialists LLCGroup PAC ID 4981931466, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Physicians, LLP

  • Internal Medicine Physician
  • Madison, WI
  • NPI 1861412785

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Capitol Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Verona, WI
  • NPI 1184286932

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Capitol Physical Therapy LLC

  • Physical Therapist
  • Verona, WI
  • NPI 1104846542
  NPD

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1427895754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931227",
            "telephone_number": "608-848-6628",
            "fax_number": "608-848-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUECKE",
        "first_name": "GRANT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16722-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Eimermann Loevinger, DPT
• Cassandra Marie Lovato, NP
• Meadow Loveless
• Kristen Elise Lowery
• Rebecca Anne Lucarelli, DPT
• Carly Rebecca Lynch, COTA
• Lilian Marie Mannino
• Claire Kathryn Manske
• Heidi Jo Martell, MSCCCSLP
• Mariah Elizabeth Martinez

• Physical Therapist in Verona, WI
• Providers in Verona, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.