Individual provider Active NPI

Lucas Hendrick, PT, DPT

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1730907056
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41719 Issued in FL
Practice address
5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone
(561) 498-4440
NPI assigned
Sep 26, 2024
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41719 FL Primary

Addresses

Primary practice location

5352 Linton Blvd
Delray Beach, FL 33484-6514

Mailing address

1200 Town Center Dr Apt 501
Jupiter, FL 33458-5259
Phone (561) 401-2118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125000783 FL Practitioner - Physical Therapist in Private Practice 4981139128 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41719FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Annerose Occupational Therapy Services LLC Physical Therapist CurrentSince Oct 10, 2024 Accepting new patients

Locations

7000 W Palmetto Park Rd
Boca Raton, FL 33433
Phone (561) 213-3357

7000 W Palmetto Park Rd
Ste 210
Boca Raton, FL 33433
Phone (561) 409-4490

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1730907056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 TOWN CENTER DR APT 501",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585259",
            "telephone_number": "561-401-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846514",
            "telephone_number": "561-498-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "LUCAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.