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MR. CEDRIC MICHAEL LUCKEY OTR/L
NPI 1972930071
Specialist in Irmo, SC

Active since October 03, 2013
355 RIDGE RUN TRL, IRMO, SC 29063(803) 271-2364 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Cedric Michael Luckey Otr/l NPPES

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

MR. CEDRIC MICHAEL LUCKEY OTR/L (NPI 1972930071) is an individual specialist in Irmo, South Carolina, licensed in South Carolina (1242) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1972930071
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. CEDRIC MICHAEL LUCKEYCredential: OTR/L
Location Address355 RIDGE RUN TRLIrmo, SC 29063-8667
Mailing Address201 Beaver Creek DrColumbia, SC 29223-7756 · (803) 419-9626
Phone(803) 271-2364
Sole ProprietorNo
Enumeration DateOctober 3, 2013
✔ NPI 1972930071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 1242
Definition
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.
355 RIDGE RUN TRL, Irmo, SC 29063
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Cedric Michael Luckey Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Cedric Luckey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Weston Group Of South Carolina Inc
131 mi
Physical Therapist
60 OAK FOREST RD
Bluffton, SC 29910
  • Reassigned Medicare billing, South Carolina enrollment
  • 138 clinicians in this Medicare group
NPI 1073957064 (610) 438-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
4,469 services15 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
911 services11 patients

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.

MRS. AUTUMN HOPE THOMAS MA, CCC-SLP
Speech-Language Pathologist
355 RIDGE RUN TRL
IRMO, SC 29063
Lexington County (803) 271-2364
MRS. FROWNIETA GRANT M.A., CCC-SLP
Speech-Language Pathologist
355 RIDGE RUN TRL
IRMO, SC 29063
Lexington County (803) 271-2364
MISS MEGAN SHELTON PT
Physical Therapist
355 RIDGE RUN TRL
IRMO, SC 29063
Lexington County (803) 271-2364
PALMETTO EARLY BEGINNINGS
Speech-Language Pathologist
355 RIDGE RUN TRL
IRMO, SC 29063
Lexington County (803) 271-2364

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 Cedric Luckey's NPI number?

The NPI number for Cedric Luckey is 1972930071. It was assigned to this individual provider in the NPPES registry on October 3, 2013.

Where is Cedric Luckey located?

Cedric Luckey practices at 355 Ridge Run Trl, Irmo, SC 29063. The listed phone number is (803) 271-2364.

What is Cedric Luckey's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Cedric Luckey enrolled in Medicare?

Yes. Cedric Luckey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cedric Luckey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cedric Luckey reassigns Medicare benefits to The Weston Group Of South Carolina Inc (Bluffton, SC). 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 Cedric Luckey'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 Cedric Luckey was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.