Luke Phillips, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT42824 Issued in CA

Practice address

805 Aerovista PL
Ste 104
San Luis Obispo, CA 93401-7919

Phone

(805) 543-7771

Fax

(805) 543-7761

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Atascadero, CA
  • NPI 1225046824

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1710354253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALNUT ST",
            "address_2": "SUITE 110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012416",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 AEROVISTA PL",
            "address_2": "STE 104",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017919",
            "telephone_number": "805-543-7771",
            "fax_number": "805-543-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LUKE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmerica Drug Systems LLC (Pharmerica)
• Phillip Kissel MD, a Professional Corporation
• Phillip M. Colbert, MD,, a Medical Corporation
• Carol Lynn Phillips, D.D.S.
• Kimberly Phillips, NP
• Tina Danielle Phipps
• John R Phirman, M.D.
• Lee J Piatek, M.D.
• Russell Piazza
• Melody Jean Pickell, LAC, MSTOM

• Physical Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.