Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lisa Ann Icke

Individual provider Physical Therapist · NPI 1316497092

MS. Lisa Ann Icke is a Physical Therapist in Private Practice in San Antonio, Texas. Qualified in 1995, 31 years ago. Practices with Fox Rehabilitation Services Tx LLC, a 122-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
31
Licensed in
TX
In the registry since
2016
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Practice location Address checks out

16911 Redland Downs
San Antonio, TX 78247-2834
Phone: (210) 445-0241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1098960 (TX)

Record details

NPI number1316497092
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2016
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Fox Rehabilitation Services Tx Llc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in San Antonio