Individual provider Active NPI

Mark Austin Lucas, PT

  • Physical Therapist
  • Mandeville, LA
National Provider Identifier
1821334343
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P13278 Issued in NC
Practice address
205 Chaucer LN
Mandeville, LA 70448-7027
Phone
(980) 307-0992
NPI assigned
Jan 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P13278 NC Primary

Addresses

Primary practice location

205 Chaucer LN
Mandeville, LA 70448-7027

Mailing address

1325 Somersby LN
Matthews, NC 28105-1575
Phone (980) 307-0992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814003970 LA Practitioner - Physical Therapist in Private Practice 3375892052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Carolina School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Limitless Physical Therapy LLCGroup PAC ID 8921332735, 2 clinicians

Practice addresses (Care Compare)

72719 Hwy 1077
Covington, LA 70433-0855
Phone (985) 900-2365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10774RLAMDSpecialist
P13278NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Physical Therapy Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Limitless Physical Therapy, LLC Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients

Locations

340 Falconer Dr
Covington, LA 70433
Phone (985) 893-2845

2306 Front St
Ste 27
Slidell, LA 70458
Phone (985) 661-1000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1821334343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SOMERSBY LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051575",
            "telephone_number": "980-307-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CHAUCER LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487027",
            "telephone_number": "980-307-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MARK",
        "middle_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P13278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.