Individual provider Active NPI

Dante Lucci, DPT

  • Physical Therapist
  • Pueblo, CO
National Provider Identifier
1942941380
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019272 Issued in CO
Practice address
279 S Purcell Blvd # 116
Pueblo, CO 81007-5083
Phone
(719) 547-2481
NPI assigned
Apr 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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
Physical Therapist 225100000X PTL.0019272 CO Primary

Addresses

Primary practice location

279 S Purcell Blvd # 116
Pueblo, CO 81007-5083

Mailing address

PO Box 645406
Pittsburgh, PA 15264-5252

Other practice location 1

2284 Brodhead Rd
Aliquippa, PA 15001-4685
Phone (724) 788-1770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610003304 WA Practitioner - Physical Therapist in Private Practice 2769860063 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0019272COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie'S Physical Therapy and Sports Medicine LLC Physical Therapist CurrentSince May 1, 2022 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince May 17, 2024 Accepting new patients
Multicare Health System CurrentSince May 17, 2024 Accepting new patients
Fyzbiz, LLC Physical Therapist Past Accepting new patients

Locations

2284 Brodhead Rd
West Aliquippa, PA 15001
Phone (724) 788-1770

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

2405 N Pearl St
Ste 18
Tacoma, WA 98406
Phone (253) 503-1560

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1942941380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645406",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S PURCELL BLVD # 116",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810075083",
            "telephone_number": "719-547-2481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2284 Brodhead Rd",
            "address_purpose": "LOCATION",
            "city": "Aliquippa",
            "state": "PA",
            "postal_code": "150014685",
            "country_code": "US",
            "telephone_number": "724-788-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCCI",
        "first_name": "DANTE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.