Individual provider Active NPI

Leticia Renee' Lambert

  • Physical Therapy Assistant
  • Kingwood, WV
National Provider Identifier
1376265124
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
001100 Issued in WV
Practice address
419 Morgantown St
Kingwood, WV 26537-1095
Phone
(304) 329-3565
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 001100 WV Primary

Addresses

Primary practice location

419 Morgantown St
Kingwood, WV 26537-1095

Mailing address

PO Box 486
Reedsville, WV 26547-0486

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Desktop/Tablet

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001100WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Memorial Homecare, LLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

419 Morgantown St
Kingwood, WV 26537
Phone (304) 329-3565

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1376265124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "REEDSVILLE",
            "state": "WV",
            "postal_code": "265470486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MORGANTOWN ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371095",
            "telephone_number": "304-329-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "LETICIA",
        "middle_name": "RENEE'",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "001100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop/Tablet",
            "affiliation": "N",
            "endpointDescription": "Desktop/tablet",
            "address_1": "419 Morgantown St",
            "city": "Kingwood",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265371095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.