Individual provider Active NPI

Lukas John Sand, DPT, MS, ATC

  • Orthopedic Physical Therapist
  • Charlotte, NC
National Provider Identifier
1811534571
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
P19210 Issued in NC
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
P19210MNMDGeriatric Physical Therapist
P19210NCMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc PastSince Dec 9, 2019 Accepting new patients
Proactive Therapy of North Carolina Inc PastSince Dec 9, 2019 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.

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.

Verify at the official NPI Registry.