Lucas Ray Deckard, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007551 Issued in KY

Practice address

3630 Brownsboro Rd
Louisville, KY 40207-1861

Phone

(502) 749-6950

Fax

(502) 749-6953

NPI assigned

Sep 4, 2018

Last updated

Oct 7, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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.

• Prorehab Louisville

  • Physical Therapist
  • Crestwood, KY
  • NPI 1982473880
  Medicare reassignment NPD
• Back9Pt & Performance LLC

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1841034410
  NPD Authorized official
• Prorehab Louisville

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1700282589

  Physical Therapist

  NPD
• Prorehab Louisville, LLC

  • Physical Therapy Clinic/Center
  • Scottsburg, IN
  • NPI 1053161349

  Physical Therapist

  NPD

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1437631769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "502-882-9379",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071861",
            "telephone_number": "502-749-6950",
            "fax_number": "502-749-6953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Natchez Trace Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "42103",
            "country_code": "US",
            "telephone_number": "270-796-4698",
            "fax_number": "270-782-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKARD",
        "first_name": "LUCAS",
        "middle_name": "RAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007551",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "TP2018113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Sue Debord, M.A.,R.D.,L.D.,C.D.
• Debras House, LLC
• Emily Debrock
• Robert F Debski, MD
• Liduvina Isabel Decarlo, APRN
• Mikayla Lauren Deckard
• Allison S Deckel
• Elizabeth M Decker
• Erin L Decker
• Kristan Conley Decker

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.