Individual provider Active NPI

Luke Jared Lamarre, PT, DPT, ATC, LAT

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
National Provider Identifier
1700497948
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT36034 Issued in FL
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

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address Luke@toptiersportsmed.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824000961 FL Practitioner - Physical Therapist in Private Practice 6901222892 Reassigns benefits to 1 organization

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
Peoples Physical Therapy IncGroup PAC ID 2567367030, 17 clinicians

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.

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.

Verify at the official NPI Registry.