Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Michael Lackey, PT

Individual provider Physical Therapist · NPI 1871580746

Brian Michael Lackey, PT is a Physical Therapist in Private Practice in Fairhope, Alabama. Graduated from University of South Alabama College of Medicine in 1997, 29 years ago. Practices with Sixfourthree, LLC, a 47-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
29
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

924 Plantation Blvd Ste B
Fairhope, AL 36532-7308
Phone: (251) 928-0600
Fax: (251) 928-6137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTH2793 (AL)

Record details

NPI number1871580746
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 5, 2005
Last updated in NPPESOctober 5, 2018
Mailing address164 Pecan Ave, Fairhope, AL 36532-1226

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Sixfourthree, Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairhope