Individual provider Active NPI

Gabriel Lucas, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1942254248
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5163 Issued in AZ
Practice address
1721 S Constellation Way
Gilbert, AZ 85295-5188
Phone
(480) 634-0227
NPI assigned
May 20, 2006
Last updated
Jan 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5163 AZ Primary

Addresses

Primary practice location

1721 S Constellation Way
Gilbert, AZ 85295-5188

Mailing address

1721 S Constellation Way
Gilbert, AZ 85295-5188
Phone (480) 634-0227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000392 AZ Practitioner - Physical Therapist in Private Practice 6406956598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New England, College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recharge Physical Therapy LLCGroup PAC ID 0840685509, 2 clinicians

Practice addresses (Care Compare)

1721 S Constellation Way
Gilbert, AZ 85295-5188
Phone (480) 634-0227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5163AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Recharge Physical Therapy LLC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Stat,LLC Past Accepting new patients
Spooner Phoenix Physical Therapy, Inc. Physical Therapist Past Accepting new patients
KC's Physical Therapy LLC Past Accepting new patients
Catz Physical Therapy Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1942254248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S CONSTELLATION WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955188",
            "telephone_number": "480-634-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S CONSTELLATION WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955188",
            "telephone_number": "480-634-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.