Lenise Lyn McCarter, PT

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Pittsburg, TX

NPI 1629784012 · NPPES record last updated Jan 30, 2023

Key facts

NPI
1629784012
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
1116408 (TX)
Practice address
13209 FM 2796
Pittsburg, TX 75686-8224
Phone
(903) 505-9509
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1116408TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Core Blasting Current
since Apr 21, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1116408 TX Yes

Addresses

Primary practice location

13209 FM 2796
Pittsburg, TX 75686-8224

Mailing address

13209 FM 2796
Pittsburg, TX 75686-8224
Phone (903) 505-9509

Other providers in Pittsburg, TX

All providers in Pittsburg, TX · Physical Medicine & Rehabilitation Physician in Texas

Sources for this page

Verify at the official NPI Registry.