| Kendall Lucas, PT, DPT | |
|
3333 Springhill Dr, North Little Rock, AR 72117-2922 | |
| (501) 202-3000 | |
| Not Available |
| Full Name | Kendall Lucas |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3333 Springhill Dr, North Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457105272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305216329 (Virginia) | Secondary |
| 225100000X | Physical Therapist | 5282 (Arkansas) | Primary |
| Provider Name | Sport Medicine And Orthopaedic Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043246556 PECOS PAC ID: 8921046616 Enrollment ID: O20050422000382 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendall Lucas, PT, DPT 516 Rock St Apt 305, Little Rock, AR 72202-2479 Ph: () - | Kendall Lucas, PT, DPT 3333 Springhill Dr, North Little Rock, AR 72117-2922 Ph: (501) 202-3000 |
Catherine Denise Miller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3035 | |
Deidre Leigh Cravens, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4540 John F Kennedy Blvd, North Little Rock, AR 72116 Phone: 501-758-5555 Fax: 501-758-5941 | |
Laurie Ann Berry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4107 Richards Rd, North Little Rock, AR 72117 Phone: 501-955-2220 | |
Darby Smith, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4107 Richards Rd, North Little Rock, AR 72117 Phone: 501-955-2220 | |
Progressive Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 W Pershing Blvd, Suite D, North Little Rock, AR 72114 Phone: 501-753-5189 Fax: 501-753-0255 | |
Mrs. Robyn Scot Porter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36 Oak Tree Cir, North Little Rock, AR 72116 Phone: 501-812-5251 | |
Daniel Warren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Fairway Ave, North Little Rock, AR 72116 Phone: 501-758-1300 Fax: 501-758-1316 |