Jessica Lemus, DPT
Individual provider Active NPI Physical Therapist · Lawrence, KS
NPI 1164090429 · NPPES record last updated Jun 14, 2021
Key facts
- NPI
- 1164090429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-06757 (KS)
- Practice address
- 535 Gateway Dr
Lawrence, KS 66049-2342 - Phone
- (785) 331-0106
- Fax
- (785) 331-0107
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bird Physical Therapy PA
Practice addresses (Care Compare)
535 Gateway Dr
Lawrence, KS 66049-2342
Phone (785) 331-0106
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210712003909 | KS | Practitioner - Physical Therapist in Private Practice | 0042612129 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-06757 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bird Physical Therapy PA | Physical Therapist | Current |
Accepting new patients |
Locations
535 Gateway Dr
Lawrence, KS 66049
Phone (785) 331-0106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-06757 | KS | Yes |
Addresses
Primary practice location
535 Gateway Dr
Lawrence, KS 66049-2342
Mailing address
535 Gateway Dr
Lawrence, KS 66049-2342
Phone (785) 331-0106
Other providers in Lawrence, KS
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- Charles J Leistner III
- Natalia Selene Leistner
- Lydia Lequesne
- Harriet Lerner
- Stephen Lerner
- Jeanenne Lester
- Jacob W Letourneau
All providers in Lawrence, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.