NATHANAEL LUCERO
NPI 1457192791
Physical Therapist in Roanoke, TX
About Nathanael Lucero NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHANAEL LUCERO (NPI 1457192791) is an individual physical therapist in Roanoke, Texas, licensed in Texas (1267787) and active in the NPI registry since June 2024.
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nathanael Lucero is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nathanael Lucero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bridgeport, TX 76426
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nathanael Lucero's NPI number?
The NPI number for Nathanael Lucero is 1457192791. It was assigned to this individual provider in the NPPES registry on June 3, 2024.
Where is Nathanael Lucero located?
Nathanael Lucero practices at 111 S Pine St, Roanoke, TX 76262. The listed phone number is (530) 902-1239.
What is Nathanael Lucero's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Nathanael Lucero enrolled in Medicare?
Yes. Nathanael Lucero is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nathanael Lucero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathanael Lucero reassigns Medicare benefits to Foundation Therapy LLC (Bridgeport, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathanael Lucero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nathanael Lucero was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.