MICHAEL J SANTA LUCIA (NPI# 1154324077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154324077 |
| Entity Type | Individual |
| Full Name | MICHAEL J SANTA LUCIA |
| Credential | P.T. |
| Practice Address |
1655 Cane Bay Blvd Ste B Summerville SC 29486-2397 |
| Practice Telephone | 8437197473 |
| Practice Fax Number | 8432793251 |
| Mailing Telephone | 8437197473 |
| Mailing Fax Number | 8432793251 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 001132 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
8042 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0158191-000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1008 Tavern Rd, Martinsburg, WV 254012801 | 3042644040 | 3042644041 |
| Street Address |
1655 CANE BAY BLVD STE B |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062127 | Rise Above Physical Therapy LLC | Physical Therapist | 1655 Cane Bay Blvd Ste B, Summerville, SC 29486-2397 | 2020-04-22 |
| 1467917617 | Stacy Rydbom | Physical Therapy Assistant | 1655 Cane Bay Blvd Ste B, Summerville, SC 29486-2397 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932363025 | Ross L Curnett | Physical Therapist | 205 Grandview Dr Unit D, Summerville, SC 29483-6948 | 2008-07-17 |
| 1366743726 | Caroline Carson Wheeler | Physical Therapist | 205 Grandview Dr Unit D, Summerville, SC 29483-6948 | 2010-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101388 | Chelsea Marie Clark | Physical Therapist | 10 Tupelo Ct, Greenville, SC 29609-6027 | 2020-07-09 |
| 1659921252 | Caitlin Mckenzie Fogarty | Physical Therapist | 25 Pearce Rd, Bluffton, SC 29910-9353 | 2019-09-16 |
| 1205280229 | Sarah Enzaldo Smith | Physical Therapist | 214 Saint James Ave Ste 140b, Goose Creek, SC 29445-2974 | 2016-04-15 |
| 1073978177 | Seaside Physical Therapy, LLC | Physical Therapist | 1264 Smythe St, Daniel Island, SC 29492-8375 | 2015-12-16 |
| 1457733594 | Rene Terese Scheuer | Physical Therapist | 116 Harborside Cir, Columbia, SC 29229-7585 | 2015-06-25 |
| 1962884452 | Jonathan Leigh Breeden | Physical Therapist | 148 Ridge Terrace Ln, Lexington, SC 29073-6878 | 2015-06-22 |
| 1720485964 | Katherine Mary Robertson | Physical Therapist | 11 Hospital Center Blvd, Ste 250, Hilton Head Island, SC 29926-2734 | 2014-12-03 |
| 1346647963 | Catherine Sease | Physical Therapist | 753 Sappho Ct, Mt Pleasant, SC 29464-5132 | 2014-11-25 |
| 1871913517 | Yakia Graham-foxe | Physical Therapist | 2619 Javelin Cir, Effingham, SC 29541-4441 | 2014-04-21 |
| 1891063160 | Dwayne Ansel King | Physical Therapist | 132 B Sunset Court, West Columbia, SC 29169-2429 | 2011-12-01 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
Please comment or provide details below to improve the information on MICHAEL J SANTA LUCIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.