Active NPI
Anna Lucas, LPTA
- Physical Therapy Assistant
- Orangeburg, SC
National Provider Identifier
1932271962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1663
- Practice address
- 119 Office Park Dr
Orangeburg, SC 29118-2407 - Phone
- (803) 536-5509
- Fax
- (803) 536-4104
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 1663 | SC | Primary |
Addresses
Primary practice location
119 Office Park Dr
Orangeburg, SC 29118-2407
Mailing address
319 Dusenburg St
Springfield, SC 29146-9465
Phone (803) 536-5509
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1663 | SC | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932271962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 DUSENBURG ST",
"city": "SPRINGFIELD",
"state": "SC",
"postal_code": "291469465",
"telephone_number": "803-536-5509",
"fax_number": "803-536-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 OFFICE PARK DR",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182407",
"telephone_number": "803-536-5509",
"fax_number": "803-536-4104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "ANNA",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "1663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, SC
Sources for this page
- 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.