LCSS Rehabilitation, LLP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

635850002 Issued in TX

Legal business name

LCSS REHABILITATION, LLP

Doing business as

Vista Physical Therapy

Practice address

323 Las Colinas Blvd E
Irving, TX 75039-5556

Phone

(972) 401-0300

Fax

(972) 257-0429

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Craig Rettke, PT

Title

President

Phone

(972) 529-3691

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vista Physical Therapy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Vista Rehab Partners, LP

  dba Vista Physical Therapy

  • Physical Therapist
  • Haltom City, TX
  • NPI 1831435437

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1548257553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W ELDORADO PKWY",
            "address_2": "#102-20LCPT",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706309",
            "telephone_number": "972-401-0300",
            "fax_number": "972-401-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 LAS COLINAS BLVD E",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395556",
            "telephone_number": "972-401-0300",
            "fax_number": "972-257-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCSS REHABILITATION, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "RETTKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-529-3691",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "635850002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0018ES",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vista Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Laureles, DC
• Sandra Lauriat, M.D.
• Elana Simone Lavi, M.S. CFY-SLP
• Alyson Law
• Kelly R Lawler, DPM
• Le Opti Tech Inc (Irving Eyecare)
• Anh Le
• Linh Hyen Le, PT
• Melanie Le
• Mike Thanh Le, FNP-C

• Physical Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.