Individual provider Active NPI

Lucas Benton Williams, DPT

  • Physical Therapist
  • Independence, MO
National Provider Identifier
1629706882
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2025038444 Issued in MO
Practice address
4900 S Arrowhead Dr Ste B
Independence, MO 64055-6990
Phone
(816) 478-4200
Fax
(816) 875-2597
NPI assigned
Aug 15, 2022
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 2025038444 MO Primary

Addresses

Primary practice location

4900 S Arrowhead Dr Ste B
Independence, MO 64055-6990

Mailing address

5101 College Blvd
Leawood, KS 66211-1614
Phone (913) 721-3387

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lucas.williams.1@12752.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221002000027 TN Practitioner - Physical Therapist in Private Practice 8325424112 Reassigns benefits to 1 organization
I20251210001225 MO Practitioner - Physical Therapist in Private Practice 8325424112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Arkansas College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Physical Therapy, IncGroup PAC ID 6305916263, 6 clinicians
Dynamix Physical Therapy LLCGroup PAC ID 5193873933, 46 clinicians

Practice addresses (Care Compare)

4900 S Arrowhead Dr
Suite B
Independence, MO 64055-6990
Phone (816) 795-6999

973 Hwy 51 N
Suite 16
Covington, TN 38019-1594
Phone (901) 617-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025038444MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Physical Therapy, Inc Physical Therapist CurrentSince Oct 22, 2025 Accepting new patients
Ascentist Physicians Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Dynamix Physical Therapy LLC CurrentSince Aug 10, 2022 Accepting new patients
Kerry D. Friesen, M.D. PC Past Accepting new patients
Dynamix Physical Therapy LLC Physical Therapist PastSince Jun 3, 2025 Accepting new patients

Locations

5101 College Blvd
Overland Park, KS 66211

4900 S Arrowhead Dr
Ste B
Independence, MO 64055
Phone (816) 795-6999

4880 NE Goodview Cir
Lees Summit, MO 64064
Phone (816) 246-1456

2035 E Shiloh Rd
Ste A
Corinth, MS 38834
Phone (662) 212-5250

5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214

309 Highway 641 N
Camden, TN 38320
Phone (731) 584-1722

973 Highway 51 N
Ste 16
Covington, TN 38019
Phone (901) 617-0100

470 Mall Blvd
Ste D
Dyersburg, TN 38024
Phone (731) 259-9995

405 N Front St
Greenfield, TN 38230
Phone (731) 678-0221

3095 Eastend Dr
Humboldt, TN 38343
Phone (731) 824-2221

529 High St
Huntingdon, TN 38344
Phone (731) 418-8100

117 Bowling Dr
Jackson, TN 38305
Phone (731) 300-2202

1314 S Highland Ave
Jackson, TN 38301
Phone (731) 891-6006

104 Oxford St
Martin, TN 38237
Phone (731) 587-3422

103 Main St S
Mc Kenzie, TN 38201
Phone (731) 393-0504

2060 Rhino Xing
Milan, TN 38358
Phone (731) 613-2214

8586 US Highway 51 N
Millington, TN 38053
Phone (901) 430-8100

1023 Mineral Wells Ave
Ste E
Paris, TN 38242
Phone (731) 333-3306

17760 US Highway 64
Ste A
Somerville, TN 38068

128 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 855-2221

1370 Rutledge Ln
Union City, TN 38261
Phone (731) 389-9800

Interoperability endpoints

  • Direct secure messaging: lucas.williams.1@12752.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1629706882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "913-721-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 S ARROWHEAD DR STE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556990",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LUCAS",
        "middle_name": "BENTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2025038444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lucas.williams.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4900 S Arrowhead Dr Ste B",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640556990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.