Active NPI
Beth Wallace Lusky, P.T.
- Physical Therapist
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15945
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15945 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burke Collins Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| The Wellspring Center | Physical Therapist | Current | Accepting new patients |
| H2 Rehabilitation Services of Florida LLC | Current | Accepting new patients | |
| Burke Collins Therapy, Inc | Physical Therapist | Current | 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.
-
dba H2 Health
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1306729330
Physical Therapist
-
dba H2 Health
- Rehabilitation Clinic/Center
- Lakewood Ranch, FL
- NPI 1275285926
Physical Therapist
-
- Physical Therapist
- Bel Air, MD
- NPI 1699887877
-
dba H2 Health
- Rehabilitation Clinic/Center
- Stuart, FL
- NPI 1477315125
Physical Therapist
-
dba Beachside Physical Therapy
- Rehabilitation Clinic/Center
- West Melbourne, FL
- NPI 1366269144
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.