Brian Michael Lackey, P.T,
NPI 1871580746ActiveIndividual· Physical Therapist· Fairhope, AL
Physical Therapist (P.T,) in Fairhope, Alabama, trained at University of South Alabama College of Medicine (class of 1997). Medicare paid $105,163 for services to 138 patients in 2024.
Overview
| NPI | 1871580746 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T, |
| Sole proprietor | No |
| NPI issued | Oct 5, 2005 |
| Last updated in NPPES | Oct 5, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTH2793 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 138 |
|---|---|
| Services billed | 6,148 across 17 procedure codes |
| Paid by Medicare | $105,163 |
Education and affiliations
| Medical school | University of South Alabama College of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Sixfourthree, LLCMadison, AL · 48 clinicians
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