Lindsey Ann Kofoot, DPT

Individual provider Active NPI Orthopedic Physical Therapist · Grinnell, IA

NPI 1013252113 · NPPES record last updated Nov 30, 2012

Key facts

NPI
1013252113
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
004253 (IA)
Practice address
234 West St S
Southview Plaza Suite #4
Grinnell, IA 50112-8160
Phone
(641) 236-4506
Fax
(641) 236-4316
NPI assigned
Nov 30, 2012
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Rehab-Orthopedic and Sports Specialist, P.C. (13 clinicians)

Practice addresses (Care Compare)

234 W St S
Unit 4
Grinnell, IA 50112-8160
Phone (641) 236-4506

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130219000559 IA Practitioner - Physical Therapist in Private Practice 0648425892 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
004253IAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab-Orthopedic and Sports Specialist, P.C. Current
since Dec 10, 2012
Accepting new patients
Total Rehab-Orthopedic & Sports Specialists, P.C. Current
since Dec 10, 2012
Accepting new patients

Locations

234 West St S
Unit 4
Grinnell, IA 50112
Phone (641) 236-4506

507 Court St
Williamsburg, IA 52361
Phone (319) 668-9453

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 004253 IA Yes

Addresses

Primary practice location

234 West St S
Southview Plaza Suite #4
Grinnell, IA 50112-8160

Mailing address

234 West St S
Southview Plaza Suite #4
Grinnell, IA 50112-8160
Phone (641) 236-4506

Other names

  • Lindsey Ann Bauer Former name

Other providers in Grinnell, IA

All providers in Grinnell, IA · Orthopedic Physical Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.