Individual provider Active NPI

Luke Kilduff

  • Physical Therapist
  • Surprise, AZ
National Provider Identifier
1619820131
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-034684 Issued in AZ
Practice address
14545 W Grand Ave Ste 108
Surprise, AZ 85374-7279
Phone
(623) 544-0300
NPI assigned
Feb 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-034684 AZ Primary

Addresses

Primary practice location

14545 W Grand Ave Ste 108
Surprise, AZ 85374-7279

Mailing address

14545 W Grand Ave Ste 108
Surprise, AZ 85374-7279
Phone (623) 544-0300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260422001105 AZ Practitioner - Physical Therapist in Private Practice 0941777478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Care Rehabilitation LLCGroup PAC ID 1759393176, 2 clinicians

Practice addresses (Care Compare)

14545 W Grand Ave
Suite 108
Surprise, AZ 85374-7279
Phone (623) 544-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-034684AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Care Rehabilitation, LLC Physical Therapist CurrentSince Mar 17, 2026 Accepting new patients

Locations

14545 W Grand Ave
Ste 108
Surprise, AZ 85374
Phone (623) 544-0300

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1619820131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 W GRAND AVE STE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747279",
            "telephone_number": "623-544-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 W GRAND AVE STE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747279",
            "telephone_number": "623-544-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDUFF",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-034684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.