Individual provider Active NPI

Lindsey L Attebery, PT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1013269620
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11814 Issued in CO
Practice address
1750 Humboldt St
Denver, CO 80218-1130
Phone
(303) 861-0057
Fax
(303) 831-0152
NPI assigned
Oct 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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 11814 CO Primary

Addresses

Primary practice location

1750 Humboldt St
Denver, CO 80218-1130

Mailing address

1750 Humboldt St
Denver, CO 80218-1130
Phone (303) 861-0057

Other names 1

  • Miss Lindsey L Woodruff Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130409000505 CO Practitioner - Physical Therapist in Private Practice 4880830215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Valley Physical Therapy, PCGroup PAC ID 2365331865, 9 clinicians

Practice addresses (Care Compare)

495 Uinta Way
Suite 100
Denver, CO 80230-7198
Phone (303) 861-0057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11814COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Valley Physical Therapy PC CurrentSince Mar 17, 2014 Accepting new patients

Locations

1750 N Humboldt St
Ste 101
Denver, CO 80218
Phone (303) 861-0057

495 Uinta Way
Ste 100
Denver, CO 80230
Phone (303) 861-0057

Organizations & group practices 1

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": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1013269620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HUMBOLDT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181130",
            "telephone_number": "303-861-0057",
            "fax_number": "303-831-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 HUMBOLDT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181130",
            "telephone_number": "303-861-0057",
            "fax_number": "303-831-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTEBERY",
        "first_name": "LINDSEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "WOODRUFF",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.