Active NPI
Donna May Luckhurst, MA, PT
- Physical Therapist
- Redfield, SD
National Provider Identifier
1801104989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0571
- Practice address
- 807 W 5TH St
Redfield, SD 57469-2019 - Phone
- (605) 472-2839
- NPI assigned
- Sep 22, 2010
- Last updated
- Sep 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0571 | SD | Primary |
| Physical Therapist | 225100000X | 013333 | NY |
Addresses
Primary practice location
807 W 5TH St
Redfield, SD 57469-2019
Mailing address
807 W 5TH St
Redfield, SD 57469-2019
Phone (605) 472-2839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013333 | NY | MD | Clinical Psychologist |
| 0571 | SD | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1801104989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 W 5TH ST",
"city": "REDFIELD",
"state": "SD",
"postal_code": "574692019",
"telephone_number": "605-472-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 W 5TH ST",
"city": "REDFIELD",
"state": "SD",
"postal_code": "574692019",
"telephone_number": "605-472-2839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKHURST",
"first_name": "DONNA",
"middle_name": "MAY",
"credential": "MA, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0571",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "013333",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redfield, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.