Dominick Lewis Lucito, DPT | |
6112 N Highway 9 Ste B, Parkville, MO 64152-3597 | |
(816) 468-5278 | |
(816) 285-5278 |
Full Name | Dominick Lewis Lucito |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6112 N Highway 9 Ste B, Parkville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336838234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2023016611 (Missouri) | Primary |
Provider Name | Modern Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1831136662 PECOS PAC ID: 7315905502 Enrollment ID: O20041220000743 |
Mailing Address | Practice Location Address |
---|---|
Dominick Lewis Lucito, DPT 335 Nw Barry Rd, Kansas City, MO 64155-2740 Ph: (816) 468-5278 | Dominick Lewis Lucito, DPT 6112 N Highway 9 Ste B, Parkville, MO 64152-3597 Ph: (816) 468-5278 |
Mrs. Jennifer Jo Mclaughlin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6264 Lewis Dr, Parkville, MO 64152 Phone: 816-587-8001 Fax: 816-587-8907 | |
Nicole Gravino-dunn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6264 Lewis Dr Ste 100, Parkville, MO 64152 Phone: 816-587-8001 | |
Kyle Austin Christopher, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6264 Lewis Dr Ste 100, Parkville, MO 64152 Phone: 816-587-8001 | |
Sharon L Fleming, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 173 English Landing Dr Ste 210, Parkville, MO 64152 Phone: 816-591-1365 | |
Mrs. Julie D Ackley, PT, DMT, COMT, OCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 6264 Lewis Dr, Ste 102, Parkville, MO 64152 Phone: 816-587-8001 Fax: 816-587-8907 | |
Ms. Laura Lynn Snyder, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6264 Lewis Street, Suite 100, Parkville, MO 64083 Phone: 816-587-8001 | |
Brekk Nicole Flax, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6112 N Highway 9 Ste B, Parkville, MO 64152 Phone: 816-468-5278 Fax: 816-285-5278 |