Individual provider Active NPI

Claire Bernadette Luck, OTR/L

  • Occupational Therapist
  • Washington, MO
National Provider Identifier
1609436831
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2018032902 Issued in MO
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

Updated by the provider on Jul 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230818000227 MO Practitioner - Occupational Therapist in Private Practice 9133581424 Reassigns benefits to 2 organizations

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
Axes Physical Therapy I, LLCGroup PAC ID 9335481688, 13 clinicians

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

LicenseStateTypeSpecialty
2018032902MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axes Physical Therapy, LLC CurrentSince Jul 24, 2023 Accepting new patients
Axes Physical Therapy, LLC CurrentSince Jul 24, 2023 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.

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.

Verify at the official NPI Registry.