Individual provider Active NPI

Clint Lester, DPT

  • Physical Therapist
  • Florence, AL
National Provider Identifier
1902458136
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9549 Issued in AL
Practice address
1122 Bradshaw Dr
Florence, AL 35630-1438
Phone
(256) 765-0002
NPI assigned
Jul 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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 PTH9549 AL 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
I20191002002838 AL Practitioner - Physical Therapist in Private Practice 4385974427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9549ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
Lester Physical Therapy CurrentSince Oct 12, 2023 Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

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

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

2515 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 383-6676

59 Eva Rd
Somerville, AL 35670
Phone (256) 773-0138

Interoperability endpoints

  • Direct secure messaging: clester@flr-al.direct.office.nextgen.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1902458136",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "CLINT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9549",
            "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 Aug 2, 2024; 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.