Active NPI
Lucille Ellen Stokes, PT
- Physical Therapist
- Athens, TX
National Provider Identifier
1124030853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1032209
- Practice address
- 907 S Palestine St
Athens, TX 75751-3612 - Phone
- (903) 675-0077
- Fax
- (903) 675-0078
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1032209 | TX | Primary |
Addresses
Primary practice location
907 S Palestine St
Athens, TX 75751-3612
Mailing address
PO Box 2028
Athens, TX 75751-7028
Phone (903) 675-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83368T | Other | TX | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Physical Therapy Specialists P C | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Dallas, TX
- NPI 1972614030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1124030853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2028",
"city": "ATHENS",
"state": "TX",
"postal_code": "757517028",
"telephone_number": "903-675-0077",
"fax_number": "903-675-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 S PALESTINE ST",
"city": "ATHENS",
"state": "TX",
"postal_code": "757513612",
"telephone_number": "903-675-0077",
"fax_number": "903-675-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "LUCILLE",
"middle_name": "ELLEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1032209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "83368T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.