ETHEL ROMAN LUCERO (PT) – Physical Therapist, NPI 1093786154
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA
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Provider Addresses for ETHEL ROMAN LUCERO (PT)
14624, Sherman Way, Van Nuys Neighborhood Council District, Los Angeles, Los Angeles County, California, 91405, United States
201
VAN NUYS, CA 914052241
Phone: (818) 988-8410
Fax: (818) 988-8409
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051104000237 | I | Physical Therapist In Private Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | CA | 97001 | Physical therapy evaluation | 93 | 92 |
| PHYSICAL THERAPY | CA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1700 | 138 |
| PHYSICAL THERAPY | CA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 2693 | 138 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| - | TX | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Occupational Therapist In Private Practice | CA | |
| Occupational Therapist In Private Practice | KS | |
| Occupational Therapist In Private Practice | CA | |
| - | UT |
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