Active NPI
Lucas W Johnson, PT, DPT, SCS
- Orthopedic Physical Therapist
- Norfolk, VA
National Provider Identifier
1740486950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2305205065
- Practice address
- 6330 Newtown Rd
Suite 100
Norfolk, VA 23502-4802 - Phone
- (757) 466-4401
- Fax
- (757) 466-4404
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2305205065 | VA | Primary |
Addresses
Primary practice location
6330 Newtown Rd
Suite 100
Norfolk, VA 23502-4802
Mailing address
437 Rhode Island Ave
Norfolk, VA 23508-2141
Phone (703) 216-4290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1016 1St Colonial Rd
Virginia Beach, VA 23454-3073
Phone (757) 481-4066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Physical Therapy PC | Orthopedic | Current | Accepting new patients |
Locations
6330 Newtown Rd
Ste 100
Norfolk, VA 23502
Phone (757) 466-4401
1016 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 481-4066
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.
-
- Physical Therapy Clinic/Center
- Virginia Beach, VA
- NPI 1841376746
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740486950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 RHODE ISLAND AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235082141",
"telephone_number": "703-216-4290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 NEWTOWN RD",
"address_2": "SUITE 100",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024802",
"telephone_number": "757-466-4401",
"fax_number": "757-466-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LUCAS",
"middle_name": "W",
"credential": "PT, DPT, SCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305205065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.