Active NPI
Mary Luckey, PT
- Specialist
- Bossier City, LA
National Provider Identifier
1659526598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01638
- Practice address
- 2717 Chantel Dr
Bossier City, LA 71111-2015 - Phone
- (318) 780-7373
- NPI assigned
- Nov 19, 2008
- Last updated
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01638 | VA | Primary |
| Physical Therapist | 225100000X | 01638 | LA |
Addresses
Primary practice location
2717 Chantel Dr
Bossier City, LA 71111-2015
Mailing address
2717 Chantel Dr
Bossier City, LA 71111-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01638 | VA | MD | Specialist |
| 01638 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melanie Massey Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Melanie Massey Infant & Toddler LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- West Monroe, LA
- NPI 1447453865
Physical Therapist
-
- Physical Therapist
- Monroe, LA
- NPI 1104922475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1659526598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 CHANTEL DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 CHANTEL DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112015",
"telephone_number": "318-780-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKEY",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-19",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "01638",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "01638",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
- Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy #05323)
- Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy #05396)
- Louisiana Family Medicine Clinic
- Louisiana Physical Therapy Services of Bossier City, LLC (Louisiana Physical Therapy Services of Bossier City)
- Ursula Luckett
- Hanh Hong Luong
- Nancy Dinh Ly, DDS
- Allyce Lyles, MCD, CCC-SLP
- Esmarelda Lyles
- Rebecca Lynn Lynch, OTD, LOTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.