Provider Demographics
NPI:1265165286
Name:CAREY, LUCAS JORDAN (DPT)
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:JORDAN
Last Name:CAREY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14287 N 87TH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3698
Mailing Address - Country:US
Mailing Address - Phone:480-551-4948
Mailing Address - Fax:
Practice Address - Street 1:4955 S ALMA SCHOOL RD STE 16
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-5640
Practice Address - Country:US
Practice Address - Phone:480-802-7081
Practice Address - Fax:480-802-8492
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32440225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist