Provider Demographics
NPI:1104617208
Name:SHILL, LUKE (PT, DPT)
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:
Last Name:SHILL
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 N GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-5012
Mailing Address - Country:US
Mailing Address - Phone:480-633-0666
Mailing Address - Fax:
Practice Address - Street 1:342 N VAL VISTA DR STE 106
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-8609
Practice Address - Country:US
Practice Address - Phone:480-325-3310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist