Robert Ray Luedtke, ATC,LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATO616 Issued in TX

Practice address

1101 Ohio Dr
Suite 110
Plano, TX 75093-5330

Phone

(972) 985-2622

Fax

(972) 985-2630

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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.

• Metdalspi, LLC

  • General Acute Care Hospital
  • Addison, TX
  • NPI 1023338142
  NPD (past)
• Outpatient Sports and Spine Rehabilitation. LLC

  • Physical Therapy Clinic/Center
  • Plano, TX
  • NPI 1386642650
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922010412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 VALLEY FRG",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802348",
            "telephone_number": "972-680-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OHIO DR",
            "address_2": "SUITE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935330",
            "telephone_number": "972-985-2622",
            "fax_number": "972-985-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDTKE",
        "first_name": "ROBERT",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "ATC,LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "ATO616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lucero, FNP-C
• Elizabeth Lucey
• Marieadlyne Luchebeleli, PMHNP-BC
• Tim Luchka, OPA-C, SA-C
• Lucky Kids Dental, PC
• Emily Jackson Luevanos, P.A.
• Luis a Mignucci, MD PA
• Alvin D Luk, M.D.
• Erin Abigail Lukacs, LCSW
• Luke Healthcare LLC

• All providers in Plano, TX
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.