BRIANNA LUCKETT (NPI# 1255872792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255872792 |
| Entity Type | Individual |
| Full Name | BRIANNA LUCKETT |
| Credential | P.T., D.P.T |
| Practice Address |
980 Roosevelt Ste 100 Irvine CA 92620-3670 |
| Practice Telephone | 9493336400 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
292797 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
980 ROOSEVELT STE 100 |
| City | IRVINE |
| State | CA |
| Zip Code | 92620-3670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043458771 | United Cerebral Palsy of Orange County | Voluntary or Charitable | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2009-02-03 |
| 1215584404 | Angelie Fe Bala Dang | Speech-Language Pathologist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2019-08-22 |
| 1811543895 | Kevin Nicholas Peterson | Physical Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2019-08-14 |
| 1851871586 | Rachel A. Emas | Occupational Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620 | 2018-08-21 |
| 1710404942 | Kalin W. Le | Occupational Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2017-08-28 |
| 1740705144 | Katherine M. Corbin | Speech-Language Pathologist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2017-08-07 |
| 1548793391 | Jennifer Chin | Occupational Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2017-04-08 |
| 1932557261 | Alicia Houn | Speech-Language Pathologist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2016-05-26 |
| 1245663483 | Frances A. Pulido | Occupational Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2013-08-12 |
| 1790026177 | Daisy Y. Ko | Occupational Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2013-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662586 | Anna Maria Isabelle Muyuela Capati | Social Worker | 59 Sanctuary, Irvine, CA 92620 | 2020-06-03 |
| 1437608361 | Christine Jihae Kim | Dentist | 6 Appomattox, Irvine, CA 92620 | 2016-10-04 |
| 1720534548 | Acupia Wellness | Acupuncturist | 4940 Irvine Blvd Ste 204, Irvine, CA 92620 | 2016-08-31 |
| 1508241779 | Brian Licuanan | Psychologist | 17 Herringbone, Irvine, CA 92620 | 2015-07-29 |
| 1689069791 | Saedeh Nia | Pharmacist | 29 Dusty Rose, Irvine, CA 92620 | 2015-04-06 |
| 1285047886 | Dongwuk Koh | Technician/Technologist | 4790 Irvine Blvd Suit 105-180, Irvine, CA 92620 | 2014-06-11 |
| 1447693742 | Farhad Najafi | Internal Medicine | 26 Sanctuary, Irvine, CA 92620 | 2013-04-17 |
| 1619224524 | Nancy Patricia Hernandez | Counselor | 5 Slocum, Irvine, CA 92620 | 2012-08-09 |
| 1437442118 | Agape Health Care Services | In Home Supportive Care | 636 Grand Canal, Irvine, CA 92620 | 2011-05-27 |
| 1528296290 | Erika Ildiko Gray | Pharmacist | 3 Ninos, Irvine, CA 92620 | 2009-07-01 |
| Find all providers in zip 92620 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508284696 | Josta Jacobs | Physical Therapist | 54 Shooting Star, Irvine, CA 92604-3358 | 2014-04-04 |
| 1841535465 | Mark Klem | Physical Therapist | 12 Harvest, Irvine, CA 92604-3234 | 2012-12-07 |
| 1427218338 | United Cerebral Palsy of Orange County | Physical Therapist | 230 Commerce, Suite 190, Irvine, CA 92602-1324 | 2008-06-13 |
| 1790755064 | Sky Pediatric, Inc. | Physical Therapist | 1929 Main St, #103, Irvine, CA 92614-0509 | 2006-01-26 |
| 1811543895 | Kevin Nicholas Peterson | Physical Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2019-08-14 |
| 1700181419 | Vanessa Warrior | Physical Therapist | 980 Roosevelt, Suite 100, Irvine, CA 92620-3672 | 2011-01-12 |
| 1548577760 | Cayley Jane Macdonald | Physical Therapist | 16269 Laguna Canyon Rd, Irvine, CA 92618-3603 | 2010-09-09 |
| 1902113319 | Roxanne Maria Estella Vonrhein | Physical Therapist | 16269 Laguna Canyon Rd, Irvine, CA 92618-3603 | 2010-09-07 |
| 1083852628 | Emily Lynne Frevert | Physical Therapist | 980 Roosevelt Ste 100, Irvine, CA 92620-3670 | 2009-02-03 |
| 1740325075 | Yvette Pigeon Gilmour | Physical Therapist | 1929 Main St Ste 103, Irvine, CA 92614-6524 | 2007-02-21 |
| Find all providers in IRVINE | ||||
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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.