Individual provider Active NPI

Lucie McGrane, DPT

  • Physical Therapist
  • San Pedro, CA
National Provider Identifier
1902305519
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297484 Issued in CA
Practice address
643 W 6TH St
San Pedro, CA 90731
Phone
(310) 548-5984
NPI assigned
Feb 9, 2018
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 042804 NY
Physical Therapist 225100000X 297484 CA Primary

Addresses

Primary practice location

643 W 6TH St
San Pedro, CA 90731

Mailing address

604 W 37TH St
San Pedro, CA 90731-6917
Phone (310) 415-5816

Other practice location 1

10 Columbus Cir
New York, NY 10019-1158
Phone (212) 823-9730

Other practice location 2

604 W 37th St
San Pedro, CA 90731-6917
Phone (310) 415-5816

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

LicenseStateTypeSpecialty
297484CAMDPhysical Therapist
042804NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1902305519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W 37TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907316917",
            "telephone_number": "310-415-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90731",
            "telephone_number": "310-548-5984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Columbus Cir",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191158",
            "country_code": "US",
            "telephone_number": "212-823-9730",
            "fax_number": "212-823-9731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 W 37th St",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907316917",
            "country_code": "US",
            "telephone_number": "310-415-5816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRANE",
        "first_name": "LUCIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042804",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.