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

Jacob E Luckett, PT

Individual provider Physical Therapist · NPI 1043791130

Jacob E Luckett, PT is a Physical Therapist in Private Practice in Cabot, Arkansas. Qualified in 2018, 8 years ago. Practices with Blue Rose Physical Therapy - West Little Rock LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
8
Licensed in
AR
In the registry since
2018
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

2039 W Main St Ste B
Cabot, AR 72023-7479
Phone: (501) 605-8888
Fax: (501) 605-8899
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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 PT4563 (AR)

Record details

NPI number1043791130
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 27, 2018
Last updated in NPPESAugust 27, 2018
Mailing address13100 Chenal Parkway, Little Rock, AR 72211-7479

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Blue Rose Physical Therapy - West Little Rock Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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