Lightsey Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1145365 Issued in TX

Legal business name

LIGHTSEY THERAPY

Practice address

2651 Boonville Rd Ste 115
Bryan, TX 77808-2334

Phone

(979) 446-0422

Fax

(979) 446-0433

NPI assigned

Feb 18, 2016

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Jean Lightsey, PT, DPTNPI 1174586432

Title

Owner/Physical Therapist

Phone

(979) 446-0422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Jean Lightsey, PT

  • Physical Therapist
  • Bryan, TX
  • NPI 1174586432
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1255790226",
    "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",
            "fax_number": "979-446-0433"
        },
        {
            "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": {
        "organization_name": "LIGHTSEY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LIGHTSEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "979-446-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1145365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Lewis, MA, LPCA
• Laresha Renee Lewis, BCBA
• Xuchao Li, L.AC
• Liberty Dialysis-Bryan LLC (Liberty Dialysis-Bryan)
• Anna Lichorad, M.D.
• Amanda Jean Lightsey, PT
• Julie W Lim, M.D.
• Jun-Chih Gisela Lin, PH.D.
• Linda S. Price, MD, Inc.
• Trisha Michele' Lindemann, APRN

• 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 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.