Individual provider Active NPI

Faith Olivia Lessert, PTA

  • Physical Therapy Assistant
  • Midwest City, OK
National Provider Identifier
1801461538
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3383 Issued in OK
Practice address
101 N Post Rd Ste a
Midwest City, OK 73130-3605
Phone
(405) 397-3550
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3383 OK Primary

Addresses

Primary practice location

101 N Post Rd Ste a
Midwest City, OK 73130-3605

Mailing address

4708 S 29TH St
Blackwell, OK 74631-7016
Phone (580) 789-1007

Other names 1

  • Faith Olivia Ashford Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anmxv LLC CurrentSince Mar 24, 2024 Accepting new patients

Locations

101 N Post Rd
#A
Oklahoma City, OK 73130
Phone (405) 397-3550

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.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1801461538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 S 29TH ST",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746317016",
            "telephone_number": "580-789-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N POST RD STE A",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731303605",
            "telephone_number": "405-397-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSERT",
        "first_name": "FAITH",
        "middle_name": "OLIVIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAITH",
            "last_name": "ASHFORD",
            "middle_name": "OLIVIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.