Individual provider Active NPI

Lee C. Glover, PHYSICAL THERAPIST

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1689699605
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1080414 Issued in TX
Practice address
5959 S Staples St
Suite 105
Corpus Christi, TX 78413-3846
Phone
(361) 994-5251
Fax
(361) 994-5257
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1080414 TX Primary

Addresses

Primary practice location

5959 S Staples St
Suite 105
Corpus Christi, TX 78413-3846

Mailing address

5959 S Staples St
Suite 105
Corpus Christi, TX 78413-3846
Phone (361) 994-5251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819001101 TX Practitioner - Physical Therapist in Private Practice 5193859510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1080414TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC CurrentSince Nov 15, 2021 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Nov 15, 2021 Accepting new patients
New Stride Physical Therapy & Rehabilitation Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Shea Physical Therapy Specialists LLC Physical Therapist CurrentSince Jun 16, 2024 Accepting new patients
Humpal Physical Therapy, P.C. Physical Therapist PastSince Dec 11, 2013 Accepting new patients

Locations

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

14302 Nemo Ct
Corpus Christi, TX 78418
Phone (361) 949-9898

3633 S Staples St
Corpus Christi, TX 78411
Phone (361) 225-2525

5440 Everhart Rd
Ste 1
Corpus Christi, TX 78411
Phone (361) 992-1435

21918 US Highway 281 N
Ste 105
San Antonio, TX 78258
Phone (210) 580-5857

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1689699605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S STAPLES ST",
            "address_2": "SUITE 105",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133846",
            "telephone_number": "361-994-5251",
            "fax_number": "361-994-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 S STAPLES ST",
            "address_2": "SUITE 105",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133846",
            "telephone_number": "361-994-5251",
            "fax_number": "361-994-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "LEE",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1080414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.