Individual provider Active NPI

Audrey Lamberson

  • Physical Therapist
  • Dumas, TX
National Provider Identifier
1457712523
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1239650 Issued in TX
Practice address
515 E 1St St
Dumas, TX 79029-3219
Phone
(806) 934-2634
NPI assigned
Mar 16, 2016
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4435 NM
Physical Therapist 225100000X 1239650 TX Primary

Addresses

Primary practice location

515 E 1St St
Dumas, TX 79029-3219

Mailing address

11623 Arbor St
Omaha, NE 68144-2981

Other practice location 1

305 E Miel De Luna Ave
Tucumcari, NM 88401-3810
Phone (575) 461-7230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160411000612 TX Practitioner - Physical Therapist in Private Practice 2860790706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Dumas Physical Therapy, LLCGroup PAC ID 3577615012, 8 clinicians

Practice addresses (Care Compare)

515 E
1St
Dumas, TX 79029-3219
Phone (806) 934-2634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4435NMMDPhysical Therapist
1239650TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dumas Physical Therapy, LLC Physical Therapist CurrentSince Mar 10, 2016 Accepting new patients
Dan C. Trigg Memorial Hospital Past Accepting new patients

Locations

9805 FM 2219
Ste 400
Amarillo, TX 79119
Phone (806) 705-8866

515 E 1st St
Dumas, TX 79029
Phone (806) 934-2634

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1457712523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 1ST ST",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790293219",
            "telephone_number": "806-934-2634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E Miel De Luna Ave",
            "address_purpose": "LOCATION",
            "city": "Tucumcari",
            "state": "NM",
            "postal_code": "884013810",
            "country_code": "US",
            "telephone_number": "575-461-7230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERSON",
        "first_name": "AUDREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4435",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1239650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.

Verify at the official NPI Registry.