Individual provider Active NPI

Lisa Mechelle Jeffery, PT, DPT, FAAOMPT

  • Orthopedic Physical Therapist
  • Austin, TX
National Provider Identifier
1174703086
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1137131 Issued in TX
Practice address
7817 Rockwood LN Ste 322
Austin, TX 78757-1106
Phone
(512) 323-0802
Fax
(512) 323-0803
NPI assigned
Nov 8, 2007
Last updated
Mar 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1137131 TX Primary

Addresses

Primary practice location

7817 Rockwood LN Ste 322
Austin, TX 78757-1106

Mailing address

PO Box 66398
Austin, TX 78766-6398
Phone (512) 323-0802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130205000494 TX Practitioner - Physical Therapist in Private Practice 6305974684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7817 Rockwood LN
Austin, TX 78757-1106
Phone (512) 323-0802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1137131TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Physical Therapy and Wellness Center, LLC Orthopedic CurrentSince Sep 1, 2013 Accepting new patients

Locations

7817 Rockwood Ln
Ste 322
Austin, TX 78757
Phone (512) 323-0802

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

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1174703086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66398",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787666398",
            "telephone_number": "512-323-0802",
            "fax_number": "512-323-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 ROCKWOOD LN STE 322",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571106",
            "telephone_number": "512-323-0802",
            "fax_number": "512-323-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "LISA",
        "middle_name": "MECHELLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1137131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.