Active NPI
Drake Lukwago
- Occupational Therapist
- Wright Patterson Afb, OH
National Provider Identifier
1477370161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT012184
- Practice address
- 88TH Medical Group 4881 Sugar Maple Dr.
Wright Patterson Afb, OH 45433 - Phone
- (937) 257-8753
- NPI assigned
- Sep 24, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT012184 | OH | Primary |
Addresses
Primary practice location
88TH Medical Group 4881 Sugar Maple Dr.
Wright Patterson Afb, OH 45433
Mailing address
88TH Medical Group 4881 Sugar Maple Dr.
Wright Patterson Afb, OH 45433
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT012184 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1477370161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88TH MEDICAL GROUP 4881 SUGAR MAPLE DR.",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "45433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88TH MEDICAL GROUP 4881 SUGAR MAPLE DR.",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "45433",
"telephone_number": "937-257-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKWAGO",
"first_name": "DRAKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT012184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wright Patterson Afb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.