LUCY CHURCH (DPT) – Physical Therapist, NPI 1518563428

LUCY CHURCH (DPT) is a healthcare provider. based in Fort myers beach, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT36547 (FL). The NPI Number for LUCY CHURCH (DPT) is 1518563428

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LUCY CHURCH (DPT)
NPI
1518563428
Phone
(239) 314-5118
Address
11400 SUMMERLIN SQUARE DR
Enumeration Date
7 December 2020
Last Update Date
5 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2408881956
Graduation Year
2020 (6 years ago)
PAC ID
7315350162
Group Practice PAC ID
9436472875
Professional Enrollment ID
I20210115001195
Address ID
FL339314786FO7205XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for LUCY CHURCH (DPT)

  • 11400 SUMMERLIN SQUARE DR

    FORT MYERS BEACH, FL 339315300

    Phone: (239) 314-5118

    Fax: (239) 314-5118

    Type: Mailing

  • 7205 Estero Blvd Unit 5

    Fort Myers Beach, FL 339314786

    Phone: (239) 314-5118

    Type: Location

  • 7205 ESTERO BLVD UNIT 5

    FORT MYERS BEACH, FL 339314786

    Phone: (239) 314-5118

    Fax: (239) 314-5118

    Type: Mailing

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: 2021-01-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210115001195IPhysical Therapist In Private PracticeFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities3,73692$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,96692$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,93987$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care1,36580$0
97535Training for self-care or home management, each 15 minutes8868$0
View full utilization report →

Insurance plans in this area (ZIP 33931)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436472875View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

What unique ID ties claims to LUCY CHURCH (DPT)?
NPI 1518563428 is assigned to LUCY CHURCH (DPT) under the national enumeration system.
Is LUCY CHURCH (DPT) currently active in the NPI registry?
CMS-published data lists LUCY CHURCH (DPT) as an active registrant.
What kind of provider is LUCY CHURCH (DPT)?
The page reflects Physical Therapist for LUCY CHURCH (DPT). Clinical services aligned with this taxonomy classification.
Where is LUCY CHURCH (DPT)'s primary listing?
We display Fort Myers Beach, Florida because that is what the record indicates for LUCY CHURCH (DPT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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