DR. LUCKY MAZE PT, DPT, OCS
NPI 1639896624
Physical Therapist - Orthopedic in Spring Hill, TN
About Dr. Lucky Maze Pt, Dpt, Ocs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LUCKY MAZE PT, DPT, OCS (NPI 1639896624) is an individual orthopedic provider in Spring Hill, Tennessee, licensed in Tennessee (16343) and active in the NPI registry since October 2022. He is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Lucky Maze Pt, Dpt, Ocs 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.
Medicare Billing Reassignments
3Medicare enrollment records show Lucky Maze reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Franklin, TN 37067
- Reassigned Medicare billing, Tennessee enrollment
- 5 clinicians in this Medicare group
Nashville, TN 37228
- Reassigned Medicare billing, Tennessee enrollment
- 173 clinicians in this Medicare group
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRING HILL, TN 37174
SPRING HILL, TN 37174
SPRING HILL, TN 37174
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 Lucky Maze's NPI number?
The NPI number for Lucky Maze is 1639896624. It was assigned to this individual provider in the NPPES registry on October 20, 2022.
Where is Lucky Maze located?
Lucky Maze practices at 5073 Main St Ste 140, Spring Hill, TN 37174. The listed phone number is (615) 861-4444.
What is Lucky Maze's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Lucky Maze enrolled in Medicare?
Yes. Lucky Maze 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.
Which organizations bill Medicare for Lucky Maze's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lucky Maze reassigns Medicare benefits to 3 organizations: Doctors Of Physical Therapy (Franklin, TN), Privia Medical Group Tennessee LLC (Nashville, TN) and Southern California Permanente Medical Group (San Diego, CA). Each 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 Lucky Maze's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lucky Maze accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Lucky Maze as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lucky Maze was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Dr. Lucky Maze, PT, DPT, OCS · NPI 1639896624
Orthopedic provider in Spring Hill, Tennessee. Individual provider, active in the CMS NPPES registry since October 20, 2022.
## Identity
- **NPI:** 1639896624 (Entity type: Individual)
- **Enumerated:** October 20, 2022
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 16343 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 5073 MAIN ST STE 140, Spring Hill, TN 37174-2738
- **Phone:** (615) 861-4444
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Doctors Of Physical Therapy (NPI 1295238244, Franklin, TN); Privia Medical Group Tennessee LLC (NPI 1376110858, Nashville, TN); Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639896624) · Data from the CMS NPPES public registry.