Individual provider Active NPI

Aaron David Loucks, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1700328465
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23399 Issued in NC
Practice address
10635 Park Rd Ste D
Charlotte, NC 28210-8408
Phone
(980) 890-3233
NPI assigned
Nov 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P23399 NC Primary
Physical Therapist 225100000X 39847 FL
Physical Therapy Assistant 225200000X PTA26750 FL

Addresses

Primary practice location

10635 Park Rd Ste D
Charlotte, NC 28210-8408

Mailing address

PO Box 412313
Boston, MA 02241-2313
Phone (914) 294-4050

Other practice location 1

4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627
Phone (561) 694-7776

Other practice location 2

8845 N Military Trl
West Palm Beach, FL 33410-6298
Phone (561) 560-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230316000898 FL Practitioner - Physical Therapist in Private Practice 1254705189 Reassigns benefits to 3 organizations
I20241115003983 NC Practitioner - Physical Therapist in Private Practice 1254705189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

2016 Ayrsley Town Blvd
Suite E
Charlotte, NC 28273-4285
Phone (980) 326-3660

Merit-based Incentive Payment System (MIPS)

Final score
73.56 of 100Reported as group
Quality
41.89
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39847FLMDPhysical Therapist
P23399NCMDPhysical Therapist
PTA26750FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Jul 11, 2023 Accepting new patients
Palm Beach Orthopaedic Institute PA CurrentSince Jan 23, 2023 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Palm Beach Orthopaedic Institute PA CurrentSince Jan 23, 2023 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Oct 14, 2024 Accepting new patients
Bend Physical Therapy Inc Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

4215 Burns Rd
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 727-1175

8845 N Military Trl
Ste 300
West Palm Beach, FL 33410
Phone (561) 223-3872

1411 N Flagler Dr
Ste 9800
West Palm Beach, FL 33401
Phone (561) 694-7778

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

10635 Park Rd
Ste D
Charlotte, NC 28210
Phone (980) 890-3233

2016 Ayrsley Town Blvd
Ste E
Charlotte, NC 28273
Phone (980) 272-5771

Interoperability endpoints

  • Direct secure messaging: aaron.loucks.1@13081.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1700328465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412313",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412313",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 PARK RD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108408",
            "telephone_number": "980-890-3233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4215 Burns Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104627",
            "country_code": "US",
            "telephone_number": "561-694-7776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8845 N Military Trl",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334106298",
            "country_code": "US",
            "telephone_number": "561-560-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUCKS",
        "first_name": "AARON",
        "middle_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-12",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23399",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "39847",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA26750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.