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Lucas Davenport, PT

NPI 1154996270ActiveIndividual· Physical Therapist· Windham, ME

Physical Therapist (PT) with Back in Motion Physical Therapy LLC and 1 other group, practicing in Windham, Maine. Medicare paid $8,514 for services to 23 patients in 2024.

Overview

NPI1154996270
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedMay 21, 2021
Last updated in NPPESJul 17, 2026
Certified by providerJul 17, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT5936ME

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (ME)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients23
Services billed405 across 8 procedure codes
Paid by Medicare$8,514

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyPhysical Therapist In Private Practice

Medical groups

Source: CMS Care Compare

Other physical therapists in Windham

All 19 physical therapists in Windham · All physical therapists in Maine