Individual provider Active NPI

Bridgette Lesar, P.T.

  • Physical Therapist
  • Fernley, NV
National Provider Identifier
1063445757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0441 Issued in NV
Practice address
20 N West St
Fernley, NV 89408-9799
Phone
(775) 575-5508
NPI assigned
Jul 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0441 NV Primary

Addresses

Primary practice location

20 N West St
Fernley, NV 89408-9799

Mailing address

1550 Wyoming CT
Reno, NV 89503-2256
Phone (775) 747-6601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000689 NV Practitioner - Physical Therapist in Private Practice 3476728965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hull Physical Therapy LLCGroup PAC ID 7012400732, 4 clinicians
Fernley Physical Therapy IncGroup PAC ID 7416224290, 3 clinicians

Practice addresses (Care Compare)

20 W St
Fernley, NV 89408-9799
Phone (775) 575-5508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0441NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Physical Therapy LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Fernley Physical Therapy, Inc. Physical Therapist CurrentSince May 1, 2017 Accepting new patients
Ross E. Waltz PT Physical Therapist PastSince Jun 1, 2018 Accepting new patients

Locations

20 West St
Fernley, NV 89408
Phone (775) 575-5508

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063445757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 WYOMING CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032256",
            "telephone_number": "775-747-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N WEST ST",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089799",
            "telephone_number": "775-575-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESAR",
        "first_name": "BRIDGETTE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernley, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.