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

Lucas Simon, DPT

Individual provider Physical Therapist · NPI 1477488245

Lucas Simon, DPT is a Physical Therapist in Private Practice in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2026.

Licensed in
ND
In the registry since
2026
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1461 Broadway N
Fargo, ND 58102-2622
Phone: (701) 293-6037
Fax: (701) 290-0242
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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 2927 (ND)

Record details

NPI number1477488245
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1461 Broadway N, Fargo, ND 58102-2622

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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