Individual provider Active NPI

Luzel Solas Tancinco, PT

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1700840543
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2128 Issued in AR
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

Updated by the provider on Jun 9, 2010

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 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

IdentifierTypeStateIssuer
157417721MedicaidAR

Other names 1

  • Luzel Duron Solas Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000624 AR Practitioner - Physical Therapist in Private Practice 5496870065 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2128ARMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reaper Physical Therapy Inc Physical Therapist CurrentSince Sep 16, 2019 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.

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.

Verify at the official NPI Registry.