Active NPI
Luzel Solas Tancinco, PT
- Physical Therapist
- Little Rock, AR
National Provider Identifier
1700840543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2128
- Practice address
- 1600 Riverfront Dr
Little Rock, AR 72202 - Phone
- (501) 663-6965
- Fax
- (501) 603-0675
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2128 | AR | Primary |
| Sports Physical Therapist | 2251S0007X | PT2128 | AR | |
| Orthopedic Physical Therapist | 2251X0800X | PT2128 | AR |
Addresses
Primary practice location
1600 Riverfront Dr
Little Rock, AR 72202
Mailing address
1600 Riverfront Dr
Little Rock, AR 72202
Phone (501) 663-6965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157417721 | Medicaid | AR |
Other names 1
- Luzel Duron Solas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2128 | AR | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reaper Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Physician'S Therapy Group, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2918 Hawkins Dr
Searcy, AR 72143
Phone (501) 279-9255
Organizations & group practices 2
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 Therapy Clinic/Center
- Searcy, AR
- NPI 1215973342
Physical Therapist
-
- Speech-Language Pathologist
- Springdale, AR
- NPI 1144276585
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1700840543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 RIVERFRONT DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72202",
"telephone_number": "501-663-6965",
"fax_number": "501-603-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 RIVERFRONT DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72202",
"telephone_number": "501-663-6965",
"fax_number": "501-603-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANCINCO",
"first_name": "LUZEL",
"middle_name": "SOLAS",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2128",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AR",
"license": "PT2128",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AR",
"license": "PT2128",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157417721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LUZEL",
"last_name": "SOLAS",
"middle_name": "DURON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.