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

Kyle Lucke

Individual provider Physical Therapist · NPI 1750267001

Kyle Lucke is a Physical Therapist in Private Practice in Folsom, California. Qualified in 2025, 1 year ago. Practices with El Dorado Physical Therapy Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

990 Riley St
Folsom, CA 95630-3064
Phone: (916) 355-1250
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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 308550 (CA)

Record details

NPI number1750267001
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address990 Riley St, Folsom, CA 95630-3064

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice El Dorado Physical Therapy Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Folsom