Maurice Lucre
NPI 1003546953ActiveIndividual· Physical Therapist· Stockton, CA
Physical Therapist with Revolution Ptwl LLC, practicing in Stockton, California. Enrolled in Medicare as practitioner - physical therapist in private practice and practitioner - physical therapist in private practice.
Overview
| NPI | 1003546953 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 14, 2022 |
| Last updated in NPPES | Oct 30, 2026 |
| Certified by provider | Oct 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 311263 | CA |
| Physical Therapist | 225100000X | LPT-034714 | AZ |
| Physical Therapist | 225100000X | 070026599 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IL); Practitioner - Physical Therapist in Private Practice (WA) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Revolution Ptwl LLCChicago, IL · 43 clinicians
Other physical therapists in Stockton
- 1013673169
- 1023586682
- 1023785490
- 1053492512
- 1063052173
- 1063110138
- 1083256838
- 1124056536
- 1144171448
- 1154748861
- 1164584058
- 1184072969
All 193 physical therapists in Stockton · All physical therapists in California