Lucas Michael Myers, PT ATC CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070012579 Issued in IL

Practice address

11223 W 22ND St
Westchester, IL 60154-5706

Phone

(708) 483-0005

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Athletic and Therapeutic Institute of Naperville, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Oswego, IL
  • NPI 1457462053
  NPD (past)
• Ortho-Sport, Inc.

  • Physical Therapist
  • Forest Park, IL
  • NPI 1942379110
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1699733063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11223 W 22ND ST",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545706",
            "telephone_number": "708-483-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LUCAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT ATC CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012579",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096001617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Muenchow, LCSW
• Suzanne Muirheid, LCPC, CRADC, CCTP-II
• Patricia Rae Mulloy, RN
• Krista Lenn Murphy, M.S., OTRL
• Shirley A Muse-Blackstone, APN,CNP
• Shivani Nagpaul
• National Therapeutic Systems, Inc.
• Native Cardinal LLC
• Natobe LLC
• Yanet Nava, PMHNP-BC

• Physical Therapist in Westchester, IL
• Providers in Westchester, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.