Lymphedema Therapy Source

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

111147 Issued in TX

Legal business name

LYMPHEDEMA THERAPY SOURCE

Practice address

309 W Eldorado Pkwy Ste 108
Little Elm, TX 75068-5382

Phone

(214) 422-8265

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

Rebecca Summers, OT, CLT-LANANPI 1992022917

Title

Owner/OT, CLT-Lana

Phone

(214) 422-8265

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Lymphedema Therapy Source

  • Durable Medical Equipment & Medical Supplies
  • Little Elm, TX
  • NPI 1083024533

  6507166378

  Same PAC ID

Tax ID family

Lymphedema Therapy Source2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lymphedema Therapy Source

  • Durable Medical Equipment & Medical Supplies
  • Little Elm, TX
  • NPI 1083024533
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Summers, OTR

  • Occupational Therapist
  • Little Elm, TX
  • NPI 1992022917
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1376953786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 N MACARTHUR BLVD # 124-446",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W ELDORADO PKWY STE 108",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685382",
            "telephone_number": "214-422-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA THERAPY SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/OT, CLT-LANA",
        "authorized_official_telephone_number": "214-422-8265",
        "authorized_official_credential": "OT, CLT-LANA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Lubojasky
• Lucky Teeth Pediatric Dentistry PLLC
• Joel Lucky, OTRL
• Yuting Luo
• Lymphedema Therapy Source
• Vijay Sriraj Madhurapantula, M.D.
• Joi Mainoo, RN, ATC, LAT
• Maybeth Maldonado Hernandez
• Manish Nair MD PLLC
• Ginette A Margarida Abreu, M.S., CCC-SLP

• Occupational Therapist in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.