Active NPI
Kathryn Caroline Hickey Lucas, DPT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1578886776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-33291
- Practice address
- 4215 E Bell Rd BLDG a
Phoenix, AZ 85032-2212 - Phone
- (602) 933-7529
- Fax
- (602) 933-4296
- NPI assigned
- Mar 3, 2010
- Last updated
- Sep 27, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011763A | IN | |
| Physical Therapist | 225100000X | 12754 | OH | |
| Physical Therapist | 225100000X | LPT-33291 | AZ | Primary |
Addresses
Primary practice location
4215 E Bell Rd BLDG a
Phoenix, AZ 85032-2212
Mailing address
2108 E Thomas Rd
Phoenix, AZ 85016-7761
Phone (602) 933-3124
Other practice location 1
3602 Northgate Ct
New Albany, IN 47150-6417
Phone (812) 944-1377
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-33291 | AZ | MD | Physical Therapist |
| 12754 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Employment Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- kathryn.lucas.1@5919.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Louisville, KY
- NPI 1689061863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1578886776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167761",
"telephone_number": "602-933-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 E BELL RD BLDG A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322212",
"telephone_number": "602-933-7529",
"fax_number": "602-933-4296"
}
],
"practiceLocations": [
{
"address_1": "3602 Northgate Ct",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471506417",
"country_code": "US",
"telephone_number": "812-944-1377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "KATHRYN",
"middle_name": "CAROLINE HICKEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011763A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "12754",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-33291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.