Individual provider Active NPI

Erin Heise Luecke, MPT

  • Physical Therapist
  • Tarpon Springs, FL
National Provider Identifier
1467770040
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19183 Issued in FL
Practice address
613 Sugar Mill Rd
Tarpon Springs, FL 34689-3937
Phone
(727) 938-8560
Fax
(727) 942-4454
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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 19183 FL Primary

Addresses

Primary practice location

613 Sugar Mill Rd
Tarpon Springs, FL 34689-3937

Mailing address

613 Sugar Mill Rd
Tarpon Springs, FL 34689-3937
Phone (727) 938-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19183FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Conforti Chiropractic & Wellness Center Inc PastSince Sep 1, 2004 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1467770040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 SUGAR MILL RD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893937",
            "telephone_number": "727-938-8560",
            "fax_number": "727-942-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 SUGAR MILL RD",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893937",
            "telephone_number": "727-938-8560",
            "fax_number": "727-942-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUECKE",
        "first_name": "ERIN",
        "middle_name": "HEISE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "19183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.