NPIMap

Organization Active NPI

Three Lakes Physical Therapy LLC

  • Physical Therapist
  • West Lake Hills, TX
National Provider Identifier
1972976405
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THREE LAKES PHYSICAL THERAPY LLC
Practice address
5000 Bee Caves Rd
Suite 200
West Lake Hills, TX 78746-5266
Phone
(512) 328-8912
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Authorized official

Name
Leslie Hartman, PTNPI 1205899549
Title
Owner
Phone
(512) 328-8912

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5000 Bee Caves Rd
Suite 200
West Lake Hills, TX 78746-5266

Mailing address

5000 Bee Caves Rd
Suite 200
West Lake Hills, TX 78746-5266
Phone (512) 328-8912

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160301000572 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062714595 Receives reassigned benefits from 1 practitioner
Practice locations: West Lake Hills, TX

National Provider Directory

National Provider Directory

Locations

5000 Bee Caves Rd
Ste 200
West Lake Hills, TX 78746
Phone (512) 328-8912

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8247/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1972976405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD",
            "address_2": "SUITE 200",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465266",
            "telephone_number": "512-328-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVES RD",
            "address_2": "SUITE 200",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465266",
            "telephone_number": "512-328-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE LAKES PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-328-8912",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.