Active NPI
Landon P Lynch-Youngman, PTA
- Physical Therapy Assistant
- Middleton, WI
National Provider Identifier
1013847227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4257-19
- Practice address
- 6710 University Ave
Middleton, WI 53562-2764 - Phone
- (608) 820-1300
- Fax
- (608) 836-9672
- NPI assigned
- May 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4257-19 | WI | Primary |
Addresses
Primary practice location
6710 University Ave
Middleton, WI 53562-2764
Mailing address
105 Clarmar Dr
Sun Prairie, WI 53590-2675
Phone (608) 318-5929
Other practice location 1
2702 Monroe St Ste A
Madison, WI 53711-1888
Phone (608) 231-3370
Other practice location 2
3205 E Washington Ave Ste 1
Madison, WI 53704-4332
Phone (608) 886-9802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4257-19 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luedtke-Storm-Mackey Chiropractic Clinic SC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Sun Prairie, WI
- NPI 1457343246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1013847227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CLARMAR DR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535902675",
"telephone_number": "608-318-5929",
"fax_number": "608-318-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6710 UNIVERSITY AVE",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535622764",
"telephone_number": "608-820-1300",
"fax_number": "608-836-9672"
}
],
"practiceLocations": [
{
"address_1": "2702 Monroe St Ste A",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537111888",
"country_code": "US",
"telephone_number": "608-231-3370",
"fax_number": "608-231-1547",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3205 E Washington Ave Ste 1",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537044332",
"country_code": "US",
"telephone_number": "608-886-9802",
"fax_number": "608-249-7728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNCH-YOUNGMAN",
"first_name": "LANDON",
"middle_name": "P",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "4257-19",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.