Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ETHEL ROMAN LUCERO PT
NPI 1093786154
Physical Therapist in Van Nuys, CA

Active since January 27, 2006
14624 SHERMAN WAY, 201, VAN NUYS, CA 91405(818) 988-8410(818) 988-8409 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethel Roman Lucero Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHEL ROMAN LUCERO PT (NPI 1093786154) is an individual physical therapist in Van Nuys, California, licensed in California (28150) and active in the NPI registry since January 2006. She is a graduate of Other (1999).

NPPES Registry Identity

NPI1093786154
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameETHEL ROMAN LUCEROCredential: PT
Location Address14624 SHERMAN WAY, 201Van Nuys, CA 91405-2241
Mailing Address14624 Sherman Way, 201Van Nuys, CA 91405-2241 · (818) 988-8410 · Fax (818) 988-8409
Fax(818) 988-8409
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1093786154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · 28150
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
14624 SHERMAN WAY, Van Nuys, CA 91405

Other Identifiers 1

OtherWPT28150ACA · Ppin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ethel Roman Lucero Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274551692
PECOS Enrollment IDI20051104000237

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
14624 SHERMAN WAY, STE 603
VAN NUYS, CA 91405
Student in an Organized Health Care Education/Training Program
14624 SHERMAN WAY
VAN NUYS, CA 91405
Orthopaedic Surgery (Hand Surgery)
14624 SHERMAN WAY, STE 303
VAN NUYS, CA 91405
Rehabilitation Practitioner
14624 SHERMAN WAY, SUITE 303
VAN NUYS, CA 91405
Internal Medicine (Nephrology)
14624 SHERMAN WAY, SUITE 309
VAN NUYS, CA 91405
Dermatology
14624 SHERMAN WAY, SUITE 409
VAN NUYS, CA 91405
Pediatrics (Adolescent Medicine)
14624 SHERMAN WAY, SUITE 401
VAN NUYS, CA 91405
Physical Therapist
14624 SHERMAN WAY, 201
VAN NUYS, CA 91405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethel Lucero's NPI number?

The NPI number for Ethel Lucero is 1093786154. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Ethel Lucero located?

Ethel Lucero practices at 14624 Sherman Way 201, Van Nuys, CA 91405. The listed phone number is (818) 988-8410.

What is Ethel Lucero's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ethel Lucero enrolled in Medicare?

Yes. Ethel Lucero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ethel Lucero was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.