James Holden Lichtenberger, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3922 Wiseman Blvd
BLDG V, Suite 502
San Antonio, TX 78251

Phone

(210) 775-6655

Fax

(210) 761-7291

NPI assigned

Aug 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic San Antonio PLLCGroup PAC ID 7012286438, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Orthopaedic San Antonio PLLC

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1750815809

  Physical Therapist, TX

  Medicare reassignment Care Compare group NPD
• Sterling Ridge Orthopaedics and Sports Medicine, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • The Woodlands, TX
  • NPI 1881626117

  TX

  Medicare reassignment NPD
• Sterling Ridge Orthopaedics and Sports Medicine, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Spring, TX
  • NPI 1154965739
  NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1104474402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 WISEMAN BLVD",
            "address_2": "BLDG V, SUITE 502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-775-6655",
            "fax_number": "210-761-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 WISEMAN BLVD",
            "address_2": "BLDG V, SUITE 502",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-775-6655",
            "fax_number": "210-761-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENBERGER",
        "first_name": "JAMES",
        "middle_name": "HOLDEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libra Emergency Physicians, PLLC
• Libra Emergency Physicians, PLLC
• Larry Edwin Lichey Jr., COTA
• Michael Lichomski
• Elizabeth Ashley Lichtenberger, L.V.N.
• Victoria Lichtenberger
• Christina Lichtenfeld, LCSW
• Michael Joseph Lichtenstein, MD
• Angie D Licon
• Carlos E Licon, M.D.

• All providers in San Antonio, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.