Active NPI
Lance Charles Lefurge, PHYSICAL THERAPIST
- Physical Therapist
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4169
- Practice address
- 1555 SE Delaware Ave
Ankeny, IA 50021-4011 - Phone
- (515) 963-8723
- Fax
- (515) 963-8755
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4926 | CO | |
| Physical Therapist | 225100000X | 4169 | IA | Primary |
Addresses
Primary practice location
1555 SE Delaware Ave
Ankeny, IA 50021-4011
Mailing address
1555 SE Delaware Ave
Ankeny, IA 50021-4011
Phone (515) 963-8723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00606786 | Other | IA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 SW Vintage Pkwy
Ankeny, IA 50023-7165
Phone (515) 416-8600
5900 NW 86TH St
Suite 200
Johnston, IA 50131-2284
Phone (515) 278-8151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4926 | CO | MD | Physical Therapist |
| 4169 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Des Moines University Osteopathic Medical Center | Physical Therapist | Past | Accepting new patients |
Locations
710 E 1st St
Ankeny, IA 50021
Phone (515) 963-8723
1555 S 1st Ave
Iowa City, IA 52240
Phone (319) 248-6800
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Des Moines, IA
- NPI 1679632038
-
- Physical Therapy Clinic/Center
- Ankeny, IA
- NPI 1639309503
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1164475760
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1679528137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 SE DELAWARE AVE",
"city": "ANKENY",
"state": "IA",
"postal_code": "500214011",
"telephone_number": "515-963-8723",
"fax_number": "515-963-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 SE DELAWARE AVE",
"city": "ANKENY",
"state": "IA",
"postal_code": "500214011",
"telephone_number": "515-963-8723",
"fax_number": "515-963-8755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFURGE",
"first_name": "LANCE",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4926",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "4169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00606786",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.