Beverly Antoinette Luckett-Torrence, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

976-019 Issued in WI

Practice address

756 N 35TH St Ste 203
Milwaukee, WI 53208

Phone

(414) 763-1237

NPI assigned

Apr 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528588800000",
    "number": "1689849556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S. GREEN BAY ROAD, SUITE #205",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "262-898-3930",
            "fax_number": "262-898-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 N 35TH ST STE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53208",
            "telephone_number": "414-763-1237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2578 N Dr Martin Luther King Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532122710",
            "country_code": "US",
            "telephone_number": "414-562-4386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 N Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532023018",
            "country_code": "US",
            "telephone_number": "414-276-2627 x726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCKETT-TORRENCE",
        "first_name": "BEVERLY",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2018-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "976-019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "976-019",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Isabella Lucero
• Noah Lucero, MD
• Georgette K Lucey-Durrani, RPH, PHARMD
• Olivia Luchini, DNP, CNM, APNP, LM
• Allan J Luck, M.D.
• Emily Ludke, PHARMD
• Rachel Ludke
• Stephanie L. Ludtke, PA-C
• Kirk Ludwig, M.D.
• Lue'S Visions of Success and Prosperity

• Physical Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.