Individual provider Active NPI

Lindsey Solomon, PT, DPT, CSCS

  • Physical Therapist
  • Menlo Park, CA
National Provider Identifier
1003498684
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299161 Issued in CA
Practice address
1900 El Camino Real Ste a
Menlo Park, CA 94027-4129
Phone
(954) 461-4913
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299161 CA Primary

Addresses

Primary practice location

1900 El Camino Real Ste a
Menlo Park, CA 94027-4129

Mailing address

402 Sausalito Blvd
Sausalito, CA 94965-2328
Phone (954) 461-4913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210920001965 CA Practitioner - Physical Therapist in Private Practice 9234536129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Embody Physical Therapy and Yoga IncGroup PAC ID 6709046584, 2 clinicians

Practice addresses (Care Compare)

4452 Park Blvd
Suite 313
San Diego, CA 92116-4049
Phone (619) 261-6049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Embody Physical Therapy & Yoga, Inc. Physical Therapist CurrentSince Sep 10, 2021 Accepting new patients
Embody Yoga & Physical Therapy Centers Inc Physical Therapist Past Accepting new patients

Locations

4452 Park Blvd
Ste 313
San Diego, CA 92116
Phone (619) 261-6049

4411 30th St
Ste 100
San Diego, CA 92116
Phone (619) 261-6049

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1003498684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SAUSALITO BLVD",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652328",
            "telephone_number": "954-461-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 EL CAMINO REAL STE A",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940274129",
            "telephone_number": "954-461-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.