Active NPI
Jennifer Renae Lebow, PT, DPT
- Specialist
- Wichita Falls, TX
National Provider Identifier
1265687214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1183903
- Practice address
- 2500 Kemp Blvd
Wichita Falls, TX 76309-5347 - Phone
- (940) 687-3422
- Fax
- (940) 687-0726
- NPI assigned
- Nov 18, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1183903 | TX | Primary |
Addresses
Primary practice location
2500 Kemp Blvd
Wichita Falls, TX 76309-5347
Mailing address
2500 Kemp Blvd
Wichita Falls, TX 76309-5347
Phone (940) 687-3422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1183903 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reneau Rehab Inc | Past | Accepting new patients | |
| Reneau Rehab Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Wichita Falls, TX
- NPI 1568510857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1265687214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763095347",
"telephone_number": "940-687-3422",
"fax_number": "940-687-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763095347",
"telephone_number": "940-687-3422",
"fax_number": "940-687-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBOW",
"first_name": "JENNIFER",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "1183903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.