NPI Code Details Logo

NPI 1386522688

NPI 1386522688 : LEXI ELIZABETH RICE PTA : BROOKSVILLE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386522688
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LEXI ELIZABETH RICE PTA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/25/2025
-----------------------------------------------------
    Last Update Date     |    08/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    20195 CORTEZ BLVD 
-----------------------------------------------------
    City                 |    BROOKSVILLE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    34601-3850
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    352-754-4500
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6975 CR 607B 
-----------------------------------------------------
    City                 |    BUSHNELL
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33513-3555
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    352-446-6107
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225200000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapy Assistant
-----------------------------------------------------
    License Number       |    PTA30675
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.