Lymphedema Clinix Texas LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LYMPHEDEMA CLINIX TEXAS LLC

Practice address

2128 Babcock Rd
BLDG 2 Suite a
San Antonio, TX 78229

Phone

(210) 201-5433

NPI assigned

Dec 19, 2024

Organization subpart

No

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

Authorized official

Name

Spencer ClarkNPI 1245576487

Title

Owner

Phone

(210) 201-5433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Spencer Clark

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1245576487

  TX

  Medicare reassignment NPD Authorized official
• Maria Jose Puente Guerra, DPT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1043561327
  Medicare reassignment NPD
• Ola Sesay, PT

  • Physical Therapist
  • Dallas, TX
  • NPI 1679802110
  Medicare reassignment NPD

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1861200073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 W OXFORD ST",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628638",
            "telephone_number": "210-201-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 BABCOCK RD",
            "address_2": "BLDG 2 SUITE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-201-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA CLINIX TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-201-5433"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analesa Grace Lyles, PA
• Catherine Lynn Lyles, DMD
• Keith Arnez Lyles, LCDC
• Rachel N Lyles, LPC
• Chad Boyce Lyman, PA
• Lymphedema Medical Center, LLC
• Lymphedemamd of America LLC
• Shauna Lyn, M.D.
• Bethany Lynch, RDMS
• Chasity Lynch, FNP

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.