MEGHAN LUCZKOWSKI (NPI# 1174138101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174138101 |
| Entity Type | Individual |
| Full Name | MEGHAN LUCZKOWSKI |
| Credential | PT, DPT, LAT, ATC |
| Practice Address |
1300 W Broad St Richmond VA 23284-9058 |
| Mailing Address |
3030 Grove Ave Apt 1 Richmond VA 23221-2865 |
| Practice Telephone | 3172608722 |
| Mailing Telephone | 3172608722 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
2305213754 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36002790A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1300 W BROAD ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23284-9058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548317308 | Virginia Commonwealth University Health System Authority | Clinic/Center | 1300 W Broad St, Richmond, VA 23284-9089 | 2007-01-04 |
| 1477088847 | Jeffrey Michael Collins | Specialist/Technologist | 1300 W Broad St, Richmond, VA 23284-9089 | 2017-04-24 |
| 1891229423 | Ray Kim | Specialist/Technologist | 1300 W Broad St, Richmond, VA 23284-9089 | 2017-04-20 |
| 1861926560 | Mike Avey | Specialist/Technologist | 1300 W Broad St, Richmond, VA 23284-9089 | 2017-04-19 |
| 1538545546 | Emily O'laughlin | Nurse Practitioner | 1300 W Broad St, Suite 2200, Richmond, VA 23284-9089 | 2015-08-03 |
| 1073907135 | Bradly Pruett | Specialist/Technologist | 1300 W Broad St, Richmond, VA 23284-9089 | 2015-03-26 |
| 1336531201 | Laura Parry | Specialist/Technologist | 1300 W Broad St, Suite 130a, Richmond, VA 23284-9089 | 2015-03-02 |
| 1336555226 | Christine Hopkins | Specialist | 1300 W Broad St, Richmond, VA 23284-9089 | 2014-07-11 |
| 1649602657 | Nicole Kiku Stevens | Specialist/Technologist | 1300 W Broad St, Richmond, VA 23284-9089 | 2013-07-31 |
| 1649558255 | Tracy Leigh Arthur | Registered Nurse | 1300 W Broad St, P.o. 842022, Richmond, VA 23284-9089 | 2011-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495635 | Vanessa M Ellison | Social Worker | 907 Floyd Ave Ste 238, Richmond, VA 23284 | 2018-01-12 |
| 1366786790 | Elizabeth Winthrop | Nurse Practitioner | 1200 W Broad St, Richmond, VA 23284 | 2012-11-26 |
| 1134333099 | Christine Petze Charbonneau | Registered Nurse | 1300 W Broad Street, Virginia Commonwealth University Student Health Service, Richmond, VA 23284 | 2007-05-10 |
| 1174745616 | Virginia Commonweatlh University Student Health Pharmacy | Pharmacy | 1300 W. Broad Street, Suite 2200, Richmond, VA 23284 | 2007-05-03 |
| 1912394800 | Samuel Grodman | Emergency Medicine | 821 W Franklin St, Richmond, VA 23284 | 2015-04-19 |
| 1225242183 | Jeannette Stien Bishai | Registered Nurse | 1300 West Broad Street, Richmond, VA 23284 | 2007-05-10 |
| 1194100644 | James Thomas Benzel | Specialist/Technologist | 1300 West Broad St., Suite 130, Richmond, VA 23284-2003 | 2015-07-27 |
| 1093940447 | Micah L Mccreary | Psychologist | 800 W. Franklin Street, Room 107, Richmond, VA 23284-2018 | 2009-05-28 |
| 1649391376 | Scott E Ross | Specialist/Technologist | 1015 W. Main St, Richmond, VA 23284-2020 | 2007-04-02 |
| 1497873814 | Alan David Freedman | Specialist/Technologist | Virginia Commonwealth University School of Education, 1015 West Main St., Box 842020, Richmond, VA 23284-2020 | 2007-03-26 |
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| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981304 | Eryn Carlisle | Physical Therapist | 3309 Suffolk Rd, Richmond, VA 23227-4724 | 2020-10-31 |
| 1497089882 | Plex 99 | Physical Therapist | 7830 West Grand Parkway South, Richmond, TX 77469 | 2009-10-01 |
| 1790029437 | David M Moore Jr. | Physical Therapist | 7650 E Parham Rd, Mob II Suite 120, Richmond, VA 23294-4373 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751300 | Kathryn R. Wason | Physical Therapist | 285 Hydraulic Ridge Road, Suite 4, Charlottesville, VA 22901-8126 | 2019-10-08 |
| 1326485814 | Tracy Oakes | Physical Therapist | 7006 River Rd Apt C, Newport News, VA 23607-1852 | 2013-05-24 |
| 1740424191 | Ashley Deboise | Physical Therapist | 3296 Dam Neck Rd, Virginia Beach, VA 23453-2614 | 2009-04-29 |
| 1659470680 | Joseph Harold Gieck | Physical Therapist | 1230 Cedars Ct Ste A, Charlottesville, VA 22903-5800 | 2006-09-22 |
| 1376879130 | Stephen D Smith | Physical Therapist | 6355 Willowfield Way, Springfield, VA 22150-1038 | 2006-08-20 |
| 1356315097 | Emilie Schmidt | Physical Therapist | 2133 Montgomery Ave, Woodbridge, VA 22191-2655 | 2006-02-16 |
| 1912997974 | Stephen John Stoecker | Physical Therapist | 3259 Catlin Avenue, Quantico, VA 22134-6050 | 2005-10-21 |
| 1871587675 | Michael Higgins | Physical Therapist | 210 Emmet St S, Charlottesville, VA 22903-2455 | 2005-09-07 |
| 1255938098 | Malcolm James Lickers | Physical Therapist | 8191 Staples Mill Rd, Henrico, VA 23228-2751 | 2020-10-05 |
| 1366060451 | David Thomas Crittenden | Physical Therapist | 251 Commonwealth Ct, Winchester, VA 22602-5347 | 2020-07-06 |
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| 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.