Lacie Windsor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT43294 Issued in FL

Practice address

1492 Tiny Town Rd Ste A1A2
Clarksville, TN 37042-7873

Phone

(615) 758-1030

NPI assigned

Dec 23, 2016

Last updated

Jul 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alaska Aquatic Therapy, Inc.Group PAC ID 6800864604, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alaska Aquatic Therapy Inc.

  dba Alaska Aquatic & Rehab Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Soldotna, AK
  • NPI 1932244068
  Medicare reassignment Care Compare group
• Nor-Alaska Physical Therapy, LLC

  dba Eagle Center Physical Therapy

  • Physical Therapist
  • Eagle River, AK
  • NPI 1326586348
  Medicare reassignment NPD

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1174068373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 EDGEWATER LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 TINY TOWN RD STE A1A2",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427873",
            "telephone_number": "615-758-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDSOR",
        "first_name": "LACIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16126",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "JZKXZ9581251",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selena Michelle Wilson
• Shauna R Wilson
• Aline Fawzi Wimberly, OTR/L
• Jenna Windham
• Robert Leland Windrow
• Charity Elizabeth Winters, DPT
• Machel Wise
• Evan Witherington, PMHNP-BC
• Witty Wellness Mental Fitness Coaching
• Terri Rene Wohlgemuth

• Physical Therapist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.