Jazlyn Danielle Lunceford, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH8590 Issued in AL

Practice address

1713 Montgomery Hwy Ste 131
Hoover, AL 35244-1254

Phone

(205) 403-8701

Fax

(205) 403-8702

NPI assigned

Aug 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1902322191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 MONTGOMERY HWY STE 131",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441254",
            "telephone_number": "205-403-8701",
            "fax_number": "205-403-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNCEFORD",
        "first_name": "JAZLYN",
        "middle_name": "DANIELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayle Dickie Lucas
• Nicholas Robert Paul Ludvik, M.D.
• Windy G. Lujano, LMT
• Adam Macgregor Lukasiewicz, MD
• Erald Lula
• Trevor Alden Lundstrom, M.D.
• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• William Michael Lyons Jr., LPC

• Physical Therapist in Hoover, AL
• Providers in Hoover, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.