MR. JERRY TYRONE LEMELLE CTRS
NPI 1518580414
Recreation Therapist in San Antonio, TX

Q: What is Jerry Lemelle's NPI number?

The NPI number for Jerry Lemelle is 1518580414. It was assigned to this individual provider in the NPPES registry on May 26, 2020. The provider is also known as Mr. Jerry Tyrone Lemelle Ctrs.

Q: What is Jerry Lemelle's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Lemelle was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2020

4455 HORIZON HILL BLVD, SAN ANTONIO, TX 78229(337) 794-8715 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jerry Tyrone Lemelle Ctrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY TYRONE LEMELLE CTRS (NPI 1518580414) is an individual recreation therapist in San Antonio, Texas, licensed in (26454) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1518580414

Entity TypeIndividualMale

Primary Taxonomy225800000X

Provider Legal NameMR. JERRY TYRONE LEMELLECredential: CTRS

Location Address4455 HORIZON HILL BLVDSan Antonio, TX 78229-2258

Mailing Address7400 Merton Minter StSan Antonio, TX 78229-4404 · (877) 469-5300

Phone(337) 794-8715

Sole ProprietorNo

Enumeration DateMay 26, 2020

NPPES CertifiedMay 26, 2020

✔ NPI 1518580414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225800000X

License✔ Licensed · 26454

Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

4455 HORIZON HILL BLVD, San Antonio, TX 78229

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Other Names 1

Professional Name (2)Mr. Jerry Tyrone Lemelle Ctrs

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ERNEST LEONARD BANKS MA

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