MR. CEDRIC MICHAEL LUCKEY OTR/L NPI 1972930071

NPI Information

  • NPI: 1972930071
  • Provider Name: MR. CEDRIC MICHAEL LUCKEY, OTR/L
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 355 RIDGE RUN TRL
    IRMO, SC
    ZIP 29063
  • Phone: (803) 271-2364

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NPI Details

MR. Cedric Michael Luckey, OTR/L is a specialist in Irmo, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Cedric Michael Luckey, OTR/L NPI is 1972930071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

355 RIDGE RUN TRL
IRMO, SC
ZIP 29063-667
Phone: (803) 271-2364

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapy procedure using functional activities (HCPCS:97530)

The enumeration date for this NPI number is 10/3/2013 and was last updated on 10/3/2013.

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
1174400000XSpecialist1242SOUTH CAROLINAYes

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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