Individual provider Active NPI

Anthony R Lucien

  • Occupational Therapist
  • Jacksonville, FL
National Provider Identifier
1952902819
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT21320 Issued in FL
Practice address
6817 Southpoint Pkwy Ste 1602
Jacksonville, FL 32216-6298
Phone
(904) 945-7556
NPI assigned
Nov 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT21320 FL Primary

Addresses

Primary practice location

6817 Southpoint Pkwy Ste 1602
Jacksonville, FL 32216-6298

Mailing address

8335 Freedom Crossing TRL Apt 1805
Jacksonville, FL 32256-8253
Phone (904) 885-9559

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

LicenseStateTypeSpecialty
OT21320FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1952902819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 FREEDOM CROSSING TRL APT 1805",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568253",
            "telephone_number": "904-885-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1602",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-945-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIEN",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.