Individual provider Active NPI

Karen Sue Luckemeyer

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1861263584
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
108634 Issued in TX
Practice address
16400 Blanco Rd
San Antonio, TX 78232-1902
Phone
(210) 724-0505
Fax
(210) 699-7995
NPI assigned
Jan 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 108634 TX Primary

Addresses

Primary practice location

16400 Blanco Rd
San Antonio, TX 78232-1902

Mailing address

9591 Cloverdale
San Antonio, TX 78250-3406
Phone (210) 710-9337

Other practice location 1

9591 Cloverdale
San Antonio, TX 78250-3406
Phone (210) 710-9337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250613003212 TX Practitioner - Occupational Therapist in Private Practice 4587175815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians

Practice addresses (Care Compare)

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108634TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up Rehab, LLC Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients

Locations

16400 Blanco Rd
San Antonio, TX 78232
Phone (210) 408-1212

Organizations & group practices 1

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1861263584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9591 CLOVERDALE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782503406",
            "telephone_number": "210-710-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321902",
            "telephone_number": "210-724-0505",
            "fax_number": "210-699-7995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9591 Cloverdale",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782503406",
            "country_code": "US",
            "telephone_number": "210-710-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCKEMEYER",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "108634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.