Individual provider Active NPI

Lucas Isley

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1851855282
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11783 Issued in TN
Practice address
3096 Poplar Ave
Memphis, TN 38111-3532
Phone
(901) 203-6366
Fax
(901) 746-0410
NPI assigned
Jan 30, 2019
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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 11783 TN Primary

Addresses

Primary practice location

3096 Poplar Ave
Memphis, TN 38111-3532

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

1680 Union Ave Ste 106
Memphis, TN 38104-3768
Phone (901) 969-0297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200212001917 TN Practitioner - Physical Therapist in Private Practice 6204262157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1680 Union Ave
Suite 106
Memphis, TN 38104-3768
Phone (901) 969-0297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc CurrentSince Feb 3, 2020 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 3, 2020 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

5226 Airline Rd
Ste 131
Arlington, TN 38002
Phone (901) 441-7997

875 W Poplar Ave
Ste 18
Collierville, TN 38017
Phone (901) 850-5742

2257 N Germantown Pkwy
Ste 101
Cordova, TN 38016
Phone (901) 759-9210

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

1680 Union Ave
Ste 106
Memphis, TN 38104
Phone (901) 969-0297

3096 Poplar Ave
Memphis, TN 38111
Phone (901) 203-6366

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 3

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1851855282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113532",
            "telephone_number": "901-203-6366",
            "fax_number": "901-746-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 Union Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381043768",
            "country_code": "US",
            "telephone_number": "901-969-0297",
            "fax_number": "901-969-0198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISLEY",
        "first_name": "LUCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.