Active NPI
Levi Lemieux
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1962380576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1407322
- Practice address
- 6501 Harris Pkwy
Fort Worth, TX 76132-6102 - Phone
- (817) 370-9891
- NPI assigned
- Aug 22, 2025
- Sex
- Male
- Sole proprietor
- No
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.
-
- Physical Therapist
- Keller, TX
- NPI 1902183643
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fort Worth, TX
- NPI 1801812698
Physical Therapist
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sportherapy LLC
Practice addresses (Care Compare)
6501 Harris Pkwy
Fort Worth, TX 76132-6102
Phone (817) 370-9891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250924004834 | TX | Practitioner - Physical Therapist in Private Practice | 9931604550 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1407322 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportherapy LLC | Physical Therapist | Current | Accepting new patients |
| Sportherapy Southwest, PC | Physical Therapist | Past | Accepting new patients |
| Gateway Partners Inc | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
8857 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 413-8700
965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1407322 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6501 Harris Pkwy
Fort Worth, TX 76132-6102
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (726) 202-3039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2025.
{
"created_epoch": "1755820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1962380576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "726-202-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 HARRIS PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761326102",
"telephone_number": "817-370-9891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMIEUX",
"first_name": "LEVI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1407322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.