Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Maurice Lucre

Individual provider Physical Therapist · NPI 1003546953

Maurice Lucre is registered under Physical Therapist in Private Practice in Stockton, California. Graduated from University of Wisconsin School of Medicine in 2022, 4 years ago. Practices with Revolution Ptwl LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Arizona, California and Illinois.

Years since qualifying
4
Trained at
University of Wisconsin School of Medicine
Licensed in
AZ, CA, IL
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

534 E Pine St Ste A
Stockton, CA 95204-5536
Phone: (209) 425-4071
Fax: (209) 451-5687
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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 070026599 (IL)
Physical Therapist Taxonomy 225100000X (CA)
Physical Therapist Taxonomy 225100000X · Licence LPT-034714 (AZ)

Record details

NPI number1003546953
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESSeptember 25, 2026
Certification dateMarch 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Revolution Ptwl Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Revolution Ptwl LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 40 clinicians in the practice; 12 are shown here.

Other providers in Stockton