Adam John Lucassian, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL6413 Issued in FL

Practice address

1408 Windjammer PL
Valrico, FL 33594-4474

Phone

(586) 872-1811

NPI assigned

Mar 28, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1770826737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 WINDJAMMER PL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944474",
            "telephone_number": "586-872-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 WINDJAMMER PL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944474",
            "telephone_number": "586-872-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCASSIAN",
        "first_name": "ADAM",
        "middle_name": "JOHN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "2631",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003527",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL6413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shae Elyce Loucks, LCSW
• Louisana Louis, PMHNP-BC
• Tyler Bradney Love, PT, DPT
• Lovebirth, LLC
• Kayle Lucas
• Kevin Lukose
• Louis Lukose, RPH
• Lauren Aune Lund, PHARMD
• Dauvida Lykins, COTA/L
• Christina Lynch, ARNP

• Athletic Trainer in Valrico, FL
• Providers in Valrico, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.