MS. BRENDA LEE LESTOCK


Address: 1755 Rustic Timbers Ln Apt 205, Prescott, AZ 86303-6902
Phone: 3309031018

MS. BRENDA LEE LESTOCK (NPI# 1396162079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396162079
Entity Type Individual
Full Name MS. BRENDA LEE LESTOCK
Other Name BRENDA LEE LESTOCK
Credential AT/L
Practice Address 1755 Rustic Timbers Ln Apt 205
Prescott
AZ 86303-6902
Mailing Address 50 Hillside Ct
Howard
OH 43028-8052
Practice Telephone 3309031018
Mailing Telephone 3309031018
Enumeration Date 2014-03-19
Last Update Date 2018-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation 1361 OH Allopathic & Osteopathic Physicians
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
1033 AZ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ CERTIFIED ATHLETIC TRAINER 2255A2300X 01

Office Location

Street Address 1755 RUSTIC TIMBERS LN APT 205
City PRESCOTT
State AZ
Zip Code 86303-6902

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NPI Name Taxonomy Address Enumeration
1518447598 Jacqueline Schlosser Respite Care 237 S. Washington Ave., Prescott, AZ 86303 2018-08-18
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1871944322 Jessie Deverna Counselor 450 W Goodwin St Suite 103b, Prescott, AZ 86303 2016-06-27
1154782845 Walmart Pharmacy 1120 N. Opal Dr., Prescott, AZ 86303 2016-03-09
1710377650 Compass Recovery Center LLC Clinic/Center 711 S. Granite St, Prescott, AZ 86303 2015-01-30
1154727527 Anne Gurley Klever Pharmacist 500 Arizona 89, Prescott, AZ 86303 2014-11-13
1295131860 Kathi Sabot Registered Nurse 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 2014-11-10
1457697989 Kim K. Mcintyre Counselor 505 S. Cortez St., Prescott, AZ 86303 2013-01-03
1578885257 Wesley Carl Kitchens Counselor 315 W Goodwin St, Prescott, AZ 86303 2010-02-22
1588805907 Jacob Lee Bean Physical Therapist 6820 El Dorado Dr, Prescott, AZ 86303 2009-03-14
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Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467426692 Margie Anacaya Physical Medicine & Rehabilitation 2100 Centerpointe West Dr, Prescott, AZ 86301-8487 2006-02-14
1144675992 Christopher Aaron Johns Physical Medicine & Rehabilitation 2100 Centerpointe West Dr, Prescott, AZ 86301-8487 2016-04-29
1124050976 Edward Allen Collacott Physical Medicine & Rehabilitation 500 Highway 89 North, Prescott, AZ 86313 2006-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194323006 Brenton Hamann Physical Medicine & Rehabilitation 21321 E Ocotillo Rd Ste I122, Queen Creek, AZ 85142-7591 2020-10-13
1053927665 Plr Physiatry, LLC Physical Medicine & Rehabilitation 23002 N Las Lavatas Rd, Scottsdale, AZ 85255-4307 2020-09-18
1508471368 Lifequest Holding Company Gilbert, LLC Physical Medicine & Rehabilitation 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 2020-09-09
1255946075 Lifequest Physical Medicine and Rehab Physical Medicine & Rehabilitation 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 2020-09-09
1407467962 Lifequest Physical Medicine and Rehab Physical Medicine & Rehabilitation 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 2020-08-10
1437767969 Trenton Fogelson Physical Medicine & Rehabilitation 3201 W Peoria Ave Ste D800, Phoenix, AZ 85029-4600 2020-07-21
1710595962 Elevate Health Clinics LLC Physical Medicine & Rehabilitation 2127 E Baseline Rd Ste 101, Tempe, AZ 85283-1537 2020-07-14
1568086155 Toca At Banner Health LLC Physical Medicine & Rehabilitation 9377 E Bell Rd Ste 231, Scottsdale, AZ 85260-1503 2020-05-30
1407491921 Chandler Ray 1 LLC Physical Medicine & Rehabilitation 1050 E Ray Rd Ste 4a, Chandler, AZ 85225-1777 2019-11-07
1669029609 Jack Joel Little Physical Medicine & Rehabilitation 9784 W Yearling Rd Ste 1520, Peoria, AZ 85383-1379 2019-08-23
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Competitor

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City PRESCOTT
Zip Code 86303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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