MARY LACY LUSK PT DPT NPI 1275330706

NPI Information

  • NPI: 1275330706
  • Provider Name: MARY LACY LUSK, PT, DPT
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 3827 JIMMY LEE SMITH PKWY STE 122
    HIRAM, GA
    ZIP 30141
  • Phone: (770) 943-1142

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NPI Details

Mary Lacy Lusk, PT, DPT is an orthopedic physical therapist in Hiram, GA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Mary Lacy Lusk, PT, DPT NPI is 1275330706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3827 JIMMY LEE SMITH PKWY STE 122
HIRAM, GA
ZIP 30141-804
Phone: (770) 943-1142

The enumeration date for this NPI number is 3/3/2025 and was last updated on 3/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicPT017621GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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