Cedric Michael Luckey, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

1242 Issued in SC

Practice address

355 Ridge Run TRL
Irmo, SC 29063-8667

Phone

(803) 271-2364

NPI assigned

Oct 3, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Weston Group of South Carolina Inc

  • Physical Therapist
  • Bluffton, SC
  • NPI 1073957064
  Medicare reassignment NPD
• Palmetto Early Beginnings

  • Speech-Language Pathologist
  • Irmo, SC
  • NPI 1669766341
  NPD (past)

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1972930071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BEAVER CREEK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237756",
            "telephone_number": "803-419-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RIDGE RUN TRL",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638667",
            "telephone_number": "803-271-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKEY",
        "first_name": "CEDRIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "1242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Nolan Lory, DMD
• Daniel Carson Lowe, LMT, MMP
• Dinah Maire Lowery X, NON SURGICAL HAIR
• Michael Vasily Lozitsky, D.C.
• Richard Lucarelli, DO
• Ayanna Lundy
• Kimberly Luoma, RN
• Brittany Luthren, PHARMD
• Karen Joyce Luvisi, LMT
• Tonya Marchell Mack-Canty

• Specialist in Irmo, SC
• Providers in Irmo, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.