Active NPI
Lacy Viertel
- Physical Therapist
- Abilene, TX
National Provider Identifier
1174993489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1229486
- Practice address
- 1602 S Clack St
Abilene, TX 79605-4610 - Phone
- (325) 691-0093
- NPI assigned
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 1229486 | TX | Primary |
Addresses
Primary practice location
1602 S Clack St
Abilene, TX 79605-4610
Mailing address
1602 S Clack St
Abilene, TX 79605-4610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 Hill St
Albany, TX 76430-3165
Phone (806) 470-2858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1229486 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Physical Therapy LTD Co | Physical Therapist | Current | Accepting new patients |
| Big Country Rehabilitation Inc | Past | Accepting new patients | |
| Privia Medical Group West Texas, PLLC | Past | Accepting new patients |
Locations
201 Hill St
Albany, TX 76430
Phone (806) 470-2858
Organizations & group practices 3
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
- Albany, TX
- NPI 1497381164
-
- Physical Therapy Clinic/Center
- Sulphur Springs, TX
- NPI 1437489184
-
- Pathology Specialist/Technologist
- Abilene, TX
- NPI 1760482665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1174993489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 S CLACK ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 S CLACK ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796054610",
"telephone_number": "325-691-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIERTEL",
"first_name": "LACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1229486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.