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

Mr. Jacob Matthew Lucas, LPTA

Individual provider Physical Therapy Assistant · NPI 1265938088

Mr. Jacob Matthew Lucas, LPTA is a Physical Therapy Assistant in Blackville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018

Practice location Address checks out

2091 Ashleigh Rd
Blackville, SC 29817-4551
Phone: (803) 571-0266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2452 (SC)

Record details

NPI number1265938088
Entity typeIndividual (Type 1)
GenderMale
Credentials LPTA
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESApril 2, 2018