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NPI Code Detail

MEDICARE: LUKE ADDISON CADDY DPT

MEDICARE: LUKE ADDISON CADDY DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP24738NC

General Provider Information

NPI Number : 1437017662
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKE ADDISON CADDY DPT
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 570-550-0168
Fax Number :
Provider Business Practice Location Address
First Line : 510 TIMBER DR E STE 102
Second Line :
City : GARNER
State : NC
Zip : 27529-5285
Country : US
Telephone Number : 919-500-5003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 02/09/2026

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Directions to “ LUKE ADDISON CADDY DPT” Practice Location

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