Organization Active NPI

Lester Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Florence, AL
National Provider Identifier
1821860982
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LESTER PHYSICAL THERAPY
Practice address
1122 Bradshaw Dr
Florence, AL 35630-1438
Phone
(256) 765-0002
Fax
(256) 765-0022
NPI assigned
Oct 23, 2023
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Clint Lester, DPTNPI 1902458136
Title
Owner
Phone
(256) 765-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1122 Bradshaw Dr
Florence, AL 35630-1438

Mailing address

1122 Bradshaw Dr
Florence, AL 35630-1438
Phone (256) 765-0002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231103003334 AL Part B Supplier - Clinic/Group Practice 3072960657 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

117 Renaissance St
Florence, AL 35630
Phone (256) 765-0002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1821860982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 BRADSHAW DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301438",
            "telephone_number": "256-765-0002",
            "fax_number": "256-765-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 BRADSHAW DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301438",
            "telephone_number": "256-765-0002",
            "fax_number": "256-765-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-765-0002",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.