AMANDA JEAN LIGHTSEY (PT) – Physical Therapist, NPI 1174586432

AMANDA JEAN LIGHTSEY (PT) is a healthcare provider. based in Bryan, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1145365 (TX). The NPI Number for AMANDA JEAN LIGHTSEY (PT) is 1174586432

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA JEAN LIGHTSEY (PT)
NPI
1174586432
Phone
(979) 446-0422
Address
2651 BOONVILLE RD STE 115
Enumeration Date
8 April 2006
Last Update Date
28 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9794460422
Graduation Year
2002 (24 years ago)
PAC ID
3577547231
Professional Enrollment ID
I20040617001765
Address ID
TX778082334BR2651XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for AMANDA JEAN LIGHTSEY (PT)

  • Boonville Road, Boonville, Bryan, Brazos County, Texas, 77802, United States

    BRYAN, TX 778082334

    Phone: (979) 446-0422

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040617001765IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities78248$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40847$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes29042$0
97162Evaluation for physical therapy, typically 30 minutes3231$0
View full utilization report →

Insurance plans in this area (ZIP 77808)

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Provider's Procedures

AMANDA JEAN LIGHTSEY (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYTX97001Physical therapy evaluation1716

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Frequently asked questions

What NPI should I save for AMANDA JEAN LIGHTSEY (PT)?
Save NPI 1174586432 if you need a stable reference for AMANDA JEAN LIGHTSEY (PT).
Is AMANDA JEAN LIGHTSEY (PT) currently active in the NPI registry?
CMS-published data lists AMANDA JEAN LIGHTSEY (PT) as an active registrant.
Does AMANDA JEAN LIGHTSEY (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for AMANDA JEAN LIGHTSEY (PT). Clinical services aligned with this taxonomy classification.
Where is AMANDA JEAN LIGHTSEY (PT)'s primary listing?
We display Bryan, Texas because that is what the record indicates for AMANDA JEAN LIGHTSEY (PT).
What if Bryan, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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