Lumina Wellness and Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P12157 Issued in NC

Legal business name

LUMINA WELLNESS AND PHYSICAL THERAPY

Practice address

1241A Military Cutoff Rd
Suite 101
Wilmington, NC 28405-3637

Phone

(910) 805-1111

Fax

(910) 798-7640

NPI assigned

Apr 1, 2013

Organization subpart

No

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

Authorized official

Name

Brian McKeever, MPTNPI 1871528695

Title

Owner

Phone

(910) 508-6629

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Keith McKeever, M.P.T.

  • Physical Therapist
  • Wilmington, NC
  • NPI 1871528695
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1689917262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241A MILITARY CUTOFF RD",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053637",
            "telephone_number": "910-805-1111",
            "fax_number": "910-798-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241A MILITARY CUTOFF RD",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053637",
            "telephone_number": "910-805-1111",
            "fax_number": "910-798-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA WELLNESS AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "MCKEEVER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-508-6629",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P12157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Dale Lukasik, CRNA
• Niklas Craig Luloff, RN
• Lumen Center for Wellness, PLLC
• Lumina Chiropractic, P.a.
• Lumina Psychotherapy PLLC
• Eunice Luna
• Britta Lee Lundgren, D.M.D.
• Katrina Mortenson Luney, RD, LDN
• Mireya Lupercio, LCSWA
• Rachel Luscher

• Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.