Active NPI
Luke Jared Lamarre, PT, DPT, ATC, LAT
- Physical Medicine & Rehabilitation Physician
- Melbourne, FL
National Provider Identifier
1700497948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT36034
- Practice address
- 6300 N Wickham Rd Ste 133B
Melbourne, FL 32940-2029 - Phone
- (321) 421-7117
- NPI assigned
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT36034 | FL | Primary |
Addresses
Primary practice location
6300 N Wickham Rd Ste 133B
Melbourne, FL 32940-2029
Mailing address
3100 Appaloosa Blvd
Melbourne, FL 32934-7870
Phone (321) 609-0670
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Luke@toptiersportsmed.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Viera Blvd
Suite 107 108
Rockledge, FL 32955-5520
Phone (321) 622-4286
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Physical Therapist
- Melbourne, FL
- NPI 1932122132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1700497948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 APPALOOSA BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347870",
"telephone_number": "321-609-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 N WICKHAM RD STE 133B",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402029",
"telephone_number": "321-421-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMARRE",
"first_name": "LUKE",
"middle_name": "JARED",
"credential": "PT, DPT, ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "PT36034",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Luke@toptiersportsmed.com",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6300 N Wickham Rd Ste 133B",
"city": "Melbourne",
"state": "FL",
"country_code": "US",
"postal_code": "329402029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.