Active NPI
Lukas John Sand, DPT, MS, ATC
- Orthopedic Physical Therapist
- Charlotte, NC
National Provider Identifier
1811534571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- P19210
- Practice address
- 8220 University Exec Park Dr Ste 140
Charlotte, NC 28262-1304 - Phone
- (704) 547-1129
- Fax
- (704) 547-9056
- NPI assigned
- Dec 2, 2019
- Last updated
- Dec 2, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | P19210 | MN | |
| Neurology Physical Therapist | 2251N0400X | P19210 | NC | |
| Sports Physical Therapist | 2251S0007X | P19210 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | P19210 | NC | Primary |
Addresses
Primary practice location
8220 University Exec Park Dr Ste 140
Charlotte, NC 28262-1304
Mailing address
8220 University Exec Park Dr Ste 140
Charlotte, NC 28262-1304
Phone (704) 547-1129
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19210 | MN | MD | Geriatric Physical Therapist |
| P19210 | NC | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Past | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1568468502
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Bethany, OK
- NPI 1437110020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1811534571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 UNIVERSITY EXEC PARK DR STE 140",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621304",
"telephone_number": "704-547-1129",
"fax_number": "704-547-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 UNIVERSITY EXEC PARK DR STE 140",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621304",
"telephone_number": "704-547-1129",
"fax_number": "704-547-9056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAND",
"first_name": "LUKAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPT, MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MN",
"license": "P19210",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NC",
"license": "P19210",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NC",
"license": "P19210",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P19210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.