LUCAS PHILLIPS


Address: 1001 E 17th St, Bloomington, IN 47408-1590
Phone: 8128557916

LUCAS PHILLIPS (NPI# 1275819443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275819443
Entity Type Individual
Full Name LUCAS PHILLIPS
Credential MED, ATC, LAT
Practice Address 1001 E 17th St
Bloomington
IN 47408-1590
Mailing Address 155 Miami St
Tiffin
OH 44883-2109
Practice Telephone 8128557916
Mailing Telephone 4194483480
Enumeration Date 2011-11-01
Last Update Date 2018-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
3982 OH Allopathic & Osteopathic Physicians
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
36001524A IN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers LUCAS PHILLIPS

NPI Name Taxonomy Address Enumeration
1982241279 Lucas Phillips Physical Therapist 99 Medtech Dr. Suite 104, Batavia, NY 14020 2019-12-05
1952627077 Lucas Phillips Counselor 2626 E 46th St, Ste J, Indianapolis, IN 46205-2380 2010-04-14

Office Location

Street Address 1001 E 17TH ST
City BLOOMINGTON
State IN
Zip Code 47408-1590

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659376424 Andy S. Hipskind Family Medicine 1001 E 17th St, Bloomington, IN 47408-1590 2005-06-16
1831757541 Hannah Nicole Miller Specialist/Technologist 1001 E 17th St, Bloomington, IN 47408-1590 2019-05-29
1528525920 Jacob Steven Laverman Physical Therapist 1001 E 17th St, Bloomington, IN 47408-1590 2019-02-22
1730671934 Lewis Meyer Young Neuromusculoskeletal Medicine, Sports Medicine 1001 E 17th St, Bloomington, IN 47408-1590 2018-06-04
1811404171 Jacob Riley Proffer Specialist/Technologist 1001 E 17th St, Bloomington, IN 47408-1590 2018-01-08
1376057083 Katherine Adair O'donnell Specialist/Technologist 1001 E 17th St, Bloomington, IN 47408-1590 2017-11-17
1003341918 Jonathan Wicks Psychiatry & Neurology 1001 E 17th St, Bloomington, IN 47408-1590 2017-04-28
1396277240 Athletico, Ltd. Physical Therapist 1001 E 17th St, Bloomington, IN 47408-1590 2017-03-30
1003354242 Mitch Taffe Specialist/Technologist 1001 E 17th St, Athletic Training, Bloomington, IN 47408-1590 2017-02-08
1992170898 John Pauer Specialist/Technologist 1001 E 17th St, Bloomington, IN 47408-1590 2015-12-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669079398 Ta-kisha Jones Health Educator 309 N. Woodlawn Ave, Bloomington, IN 47408 2020-10-06
1265915904 Meghan Elizabeth Kinkead Specialist/Technologist Simon Skjodt Assembly Hall, 1001 East 17th Street, Bloomington, IN 47408 2018-09-10
1316499395 Marabai Rose Counseling, LLC Social Worker 4568 East State Rd 45, Bloomington, IN 47408 2016-10-26
1295133908 Eden Embree Specialist/Technologist 1001 E. 17th Street, Assembly Hall, Bloomington, IN 47408 2014-12-11
1588995229 Create-a-smile PC Dentist 219 E. 17th St., Bloomington, IN 47408 2010-01-20
1609053289 Laurette Frazier Counselor 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 2008-01-26
1770709917 Robin A. Roberts Dentist 104 E. 19th Street, Bloomington, IN 47408 2007-04-17
1376614008 David Rudolf Fletcher General Practice 126 S. Hampton Ct, Bloomington, IN 47408 2006-11-13
1114013752 Christole, Inc Intermediate Care Facility, Mentally Retarded 2727 N Dunn, Bloomington, IN 47408 2006-10-04
1003850322 Priti V Jindal Internal Medicine 2455 N Tamarack Trl, Bloomington, IN 47408 2006-06-16
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Taxonomy Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023526050 Jennifer Walters Physical Medicine & Rehabilitation 2362 E State Road 18, Flora, IN 46929-8201 2018-01-11
1417279969 Gerald Mickler Physical Medicine & Rehabilitation 9500 E 16th St, Indianapolis, IN 46229-2008 2010-02-25
1679528152 Christopher J Emrick Physical Medicine & Rehabilitation 13774 Elmberry Ln, Fishers, IN 46038-8530 2006-05-23
1073153474 Good Samaritan Hospital Physical Medicine & Rehabilitation 2020 S Clearview Dr, Vincennes, IN 47591-5576 2020-01-14
1366084915 Tyler William Maharrey Physical Medicine & Rehabilitation 600 W 13th St, Jasper, IN 47546-1881 2019-10-15
1306345194 Cody Hartz Physical Medicine & Rehabilitation 2000 W University Ave, Muncie, IN 47306-1022 2018-02-07
1578956736 Maura Shea Physical Medicine & Rehabilitation 567 N 5th St, Terre Haute, IN 47809-1903 2015-03-12
1245636380 Malinda Nieman Physical Medicine & Rehabilitation 300 E 109th Ave, Crown Point, IN 46307-8693 2014-11-18
1265751127 Leda Ameri Ghannad Physical Medicine & Rehabilitation 9200 Calumet Ave, Munster, IN 46321-2885 2010-05-18
1215149810 Carly E Day Physical Medicine & Rehabilitation 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 2007-05-04
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Competitor

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City BLOOMINGTON
Zip Code 47408

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Dataset Information

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.

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