Active NPI
Claire Bernadette Luck, OTR/L
- Occupational Therapist
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2018032902
- Practice address
- 2018 Phoenix Center Dr
Washington, MO 63090-5544 - Phone
- (636) 283-2185
- NPI assigned
- Jun 19, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2018032902 | MO | Primary |
Addresses
Primary practice location
2018 Phoenix Center Dr
Washington, MO 63090-5544
Mailing address
647 Spirit Airpark West Dr Ste 101
Chesterfield, MO 63005-1032
Phone (636) 206-4225
Other practice location 1
4540 DuBois Creek Ln
Washington, MO 63090-6156
Phone (314) 974-7820
Other practice location 2
1016 W Highway 28
Owensville, MO 65066-1677
Phone (573) 437-6877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Missouri, Columbia School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2018 Phoenix Ctr Dr
Washington, MO 63090-5544
Phone (636) 283-2185
21 Silo Dr
Union, MO 63084-4917
Phone (636) 649-4131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018032902 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axes Physical Therapy, LLC | Current | Accepting new patients | |
| Axes Physical Therapy, LLC | Current | Accepting new patients |
Locations
647 Spirit Airpark West Dr
Ste 101
Chesterfield, MO 63005
Phone (636) 223-5700
1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937
1120 W Commerce Dr
Ste 100
Festus, MO 63028
Phone (636) 224-7511
4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225
4131 Union Rd
Saint Louis, MO 63129
Phone (314) 274-9222
2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Washington, MO
- NPI 1679032700
-
- Physical Therapy Clinic/Center
- O Fallon, MO
- NPI 1003280421
-
- Durable Medical Equipment & Medical Supplies
- Creve Coeur, MO
- NPI 1699530931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1609436831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "647 SPIRIT AIRPARK WEST DR STE 101",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051032",
"telephone_number": "636-206-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 PHOENIX CENTER DR",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630905544",
"telephone_number": "636-283-2185"
}
],
"practiceLocations": [
{
"address_1": "4540 DuBois Creek Ln",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630906156",
"country_code": "US",
"telephone_number": "314-974-7820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1016 W Highway 28",
"address_purpose": "LOCATION",
"city": "Owensville",
"state": "MO",
"postal_code": "650661677",
"country_code": "US",
"telephone_number": "573-437-6877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCK",
"first_name": "CLAIRE",
"middle_name": "BERNADETTE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2018032902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.