Amanda Jean Lightsey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1145365 Issued in TX

Practice address

2651 Boonville Rd Ste 115
Bryan, TX 77808-2334

Phone

(979) 446-0422

Fax

(979) 446-0433

NPI assigned

Apr 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lightsey Therapy

  • Physical Therapist
  • Bryan, TX
  • NPI 1255790226
  Medicare reassignment Authorized official
• Rural Rehab Providers, LLC

  • Physical Therapist
  • Corsicana, TX
  • NPI 1063574671
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1174586432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 BOONVILLE RD STE 115",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778082334",
            "telephone_number": "979-446-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 BOONVILLE RD STE 115",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778082334",
            "telephone_number": "979-446-0422",
            "fax_number": "979-446-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTSEY",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1145365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8T2272",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1651572-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xuchao Li, L.AC
• Liberty Dialysis-Bryan LLC
• Anna Lichorad, M.D.
• Katelyn Jo Light, MD
• Lightsey Therapy
• Julie W Lim, M.D.
• Jun-Chih Gisela Lin, PH.D.
• Linda S. Price, MD, Inc.
• Trisha Michele' Lindemann, APRN
• Mark B Lindsay, MD

• Physical Therapist in Bryan, TX
• Providers in Bryan, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.