Individual provider Active NPI

Lindsay E Kabusk

  • Occupational Therapist
  • Ewing, NJ
National Provider Identifier
1043727969
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60841597 Issued in WA
Practice address
441 Latona Ave
Ewing, NJ 08618-2715
Phone
(724) 263-1875
NPI assigned
Dec 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0005228 CO
Occupational Therapist 225X00000X OT60841597 WA Primary

Addresses

Primary practice location

441 Latona Ave
Ewing, NJ 08618-2715

Mailing address

441 Latona Ave
Ewing, NJ 08618-2715
Phone (724) 263-1875

Other names 1

  • Lindsay E Bostich Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912002318 WA Practitioner - Occupational Therapist in Private Practice 6608230461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
West Virginia University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Specialized Physical Therapy PLLCGroup PAC ID 4385919091, 2 clinicians

Practice addresses (Care Compare)

212 W Birch Ave
Colville, WA 99114-2440
Phone (509) 684-5621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0005228COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Specialized Physical Therapy, PLLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

212 W Birch Ave
Colville, WA 99114
Phone (509) 684-5621

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.

NPI Registry JSON

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1043727969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 LATONA AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182715",
            "telephone_number": "724-263-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 LATONA AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182715",
            "telephone_number": "724-263-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABUSK",
        "first_name": "LINDSAY",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005228",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60841597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "BOSTICH",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.