Individual provider Active NPI

Beth Wallace Lusky, P.T.

  • Physical Therapist
  • Bel Air, MD
National Provider Identifier
1467551846
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15945 Issued in MD
Practice address
The Wellspring Center
658 Boulton St.
Bel Air, MD 21014-4214
Phone
(410) 836-9622
Fax
(410) 836-9632
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15945 MD Primary

Addresses

Primary practice location

The Wellspring Center
658 Boulton St.
Bel Air, MD 21014-4214

Mailing address

1216 Runnymede LN
Bel Air, MD 21014-2550
Phone (410) 838-8161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220001209 FL Practitioner - Physical Therapist in Private Practice 9335315308 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15945MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Collins Therapy, Inc Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
The Wellspring Center Physical Therapist CurrentSince Jun 1, 2004 Accepting new patients
H2 Rehabilitation Services of Florida LLC CurrentSince Dec 1, 2024 Accepting new patients
Burke Collins Therapy, Inc Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
H2 Rehabilitation Services of Florida LLC Physical Therapist Current Accepting new patients

Locations

831 Santa Barbara Blvd
Ste 227
Cape Coral, FL 33991

3339 Highway 17
Green Cove Springs, FL 32043
Phone (904) 284-5721

Organizations & group practices 5

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467551846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 RUNNYMEDE LN",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142550",
            "telephone_number": "410-838-8161",
            "fax_number": "410-836-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE WELLSPRING CENTER",
            "address_2": "658 BOULTON ST.",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144214",
            "telephone_number": "410-836-9622",
            "fax_number": "410-836-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSKY",
        "first_name": "BETH",
        "middle_name": "WALLACE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.