Lance Tucker

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06586R Issued in LA

Practice address

4437 Richmond Ave
Shreveport, LA 71106-1419

Phone

(318) 272-6125

NPI assigned

Mar 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ltucker@stathomehealth.net

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.

• Core Physical Therapy and Performance, LLC

  • Physical Therapist
  • Shreveport, LA
  • NPI 1609243716

  LA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Glory Rehab Services LLC

  • Physical Therapist
  • Scott, LA
  • NPI 1972367332

  LA, Physical Therapist

  Medicare reassignment Care Compare group NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glory Rehab Services LLC 5 clinicians

Core Physical Therapy and Performance LLC 3 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1982289997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 RICHMOND AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061419",
            "telephone_number": "318-272-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 RICHMOND AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061419",
            "telephone_number": "318-272-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "LANCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-11",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06586R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY",
            "identifier": "06586R",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ltucker@stathomehealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4437 Richmond Ave",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711061419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hchb",
            "affiliation": "N",
            "address_1": "4437 Richmond Ave",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711061419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Tucker, SPEECH THERAPIST
• Elizabeth Tucker, MD
• Ella Y Tucker
• Grafton Latron Tucker Jr.
• Jenifer Tucker
• Mary Beth Tucker, SLP
• Nikura Tucker, FNP-C
• Shantell Chonne Tucker
• Susan C Tucker
• Vinetta Tucker, RN

• All providers in Shreveport, LA
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.