Active NPI
Lucas William Rowan, DPT
- Physical Therapist
- Clinton, MS
National Provider Identifier
1891337283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6449
- Practice address
- 703 Clinton Pkwy
Clinton, MS 39056-5245 - Phone
- (601) 708-4205
- Fax
- (601) 708-4707
- NPI assigned
- Oct 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6449 | MS | Primary |
Addresses
Primary practice location
703 Clinton Pkwy
Clinton, MS 39056-5245
Mailing address
8205 Presidents Dr
Hummelstown, PA 17036-8621
Phone (717) 839-2188
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6449 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1891337283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205 PRESIDENTS DR",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170368621",
"telephone_number": "717-839-2188",
"fax_number": "717-565-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 CLINTON PKWY",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565245",
"telephone_number": "601-708-4205",
"fax_number": "601-708-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWAN",
"first_name": "LUCAS",
"middle_name": "WILLIAM",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-17",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.