Bryttnie Nicole Lucas

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2024-0029 Issued in NM

Practice address

6000 Santa Clara Dr
Farmington, NM 87402-5166

Phone

(505) 860-4385

NPI assigned

Jan 23, 2024

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1750143046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SANTA CLARA DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025166",
            "telephone_number": "505-860-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SANTA CLARA DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025166",
            "telephone_number": "505-860-4385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W 30th St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874013922",
            "country_code": "US",
            "telephone_number": "505-327-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "BRYTTNIE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2024-0029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lovato, LBSW
• Lovelace Health Systems Inc. Dba S.E.D. Medical Laboratories-Farmingto
• Samantha Lowery
• Sonya Annette Loya, LMSW
• George Douglas Loyd, R.N.
• Jason Lucas, DO
• Lauren Lucero
• Loretta Lucero, RNFAC
• Martha Jean Luhrs, FNP-C
• Mathew Lujan, PHYSICIAN ASSISTANT

• Physical Therapist in Farmington, NM
• Providers in Farmington, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.