Active NPI
Lacy Herrmann, PT
- Physical Therapist
- Bandera, TX
National Provider Identifier
1154556975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1146972
- Practice address
- 3456 Hwy 16 South
Bandera, TX 78003 - Phone
- (830) 796-3447
- Fax
- (830) 796-3685
- NPI assigned
- May 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 1146972 | TX | Primary |
Addresses
Primary practice location
3456 Hwy 16 South
Bandera, TX 78003
Mailing address
PO Box 2805
Bandera, TX 78003-2805
Phone (830) 796-3447
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1146972 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Physical Therapy | 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
- Bandera, TX
- NPI 1215037411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242950400000",
"number": "1154556975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2805",
"city": "BANDERA",
"state": "TX",
"postal_code": "780032805",
"telephone_number": "830-796-3447",
"fax_number": "830-796-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3456 HWY 16 SOUTH",
"city": "BANDERA",
"state": "TX",
"postal_code": "78003",
"telephone_number": "830-796-3447",
"fax_number": "830-796-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRMANN",
"first_name": "LACY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2009-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1146972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bandera, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.