Individual provider Active NPI

Lucas Dean Myers, PT, DPT

  • Physical Therapist
  • Concord, NC
National Provider Identifier
1619522513
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23727 Issued in NC
Practice address
1036 Branchview Dr Ste 205
Concord, NC 28025-0113
Phone
(980) 244-3200
NPI assigned
Aug 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-32098 AZ
Physical Therapist 225100000X P23727 NC Primary

Addresses

Primary practice location

1036 Branchview Dr Ste 205
Concord, NC 28025-0113

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Other practice location 1

1508 W Innes St
Salisbury, NC 28144-2504
Phone (704) 630-9656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502002680 NC Practitioner - Physical Therapist in Private Practice 6204167273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Fowler Physical Therapy IncGroup PAC ID 9234371840, 7 clinicians

Practice addresses (Care Compare)

1508 W Innes St
Salisbury, NC 28144-2504
Phone (704) 630-9656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P23727NCMDPhysical Therapist
P23737NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fowler Physical Therapy, Inc. Physical Therapist CurrentSince Feb 27, 2025 Accepting new patients
On the Mend on the Move Physical Therapy, Inc. Physical Therapist PastSince Dec 6, 2021 Accepting new patients

Locations

1036 Branchview Dr
Ste 205
Concord, NC 28025
Phone (980) 244-3200

1508 W Innes St
Salisbury, NC 28144
Phone (704) 630-9656

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1619522513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 BRANCHVIEW DR STE 205",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250113",
            "telephone_number": "980-244-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 W Innes St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442504",
            "country_code": "US",
            "telephone_number": "704-630-9656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LUCAS",
        "middle_name": "DEAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32098",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.