Individual provider Active NPI

Troy A. Lindstrom, DPT, ATC

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1083789598
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008899 Issued in WA
Practice address
1550 S Union Ave Ste 130
Tacoma, WA 98405-1946
Phone
(253) 552-2525
Fax
(253) 552-2526
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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 PT00008899 WA Primary

Addresses

Primary practice location

1550 S Union Ave Ste 130
Tacoma, WA 98405-1946

Mailing address

4411 Point Fosdick Dr NW Ste 101
Gig Harbor, WA 98335-1703
Phone (253) 552-2525

Other identifiers 3

IdentifierTypeStateIssuer
7573LIOtherWAREGENCE BCBS
8336471MedicaidWA
171465OtherWALABOR AND INDUSTRIES WC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004001167 WA Practitioner - Physical Therapist in Private Practice 0648462069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1550 S Union Ave
Suite 130
Tacoma, WA 98405-1946
Phone (253) 552-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Sep 27, 2017 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

305 Telegraph Rd
Bellingham, WA 98226
Phone (360) 483-2112

1714 S Gold St
Centralia, WA 98531
Phone (360) 360-5532

4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472

9501 W Clearwater Ave
Ste A130
Kennewick, WA 99336
Phone (509) 241-8120

1560 3rd Ave
Longview, WA 98632
Phone (360) 423-9535

9414 Ridgetop Blvd NW
Ste 106
Silverdale, WA 98383
Phone (360) 286-2647

1550 S Union Ave
Ste 130
Tacoma, WA 98405
Phone (253) 552-2525

500 Columbia St
Ste C
Woodland, WA 98674
Phone (360) 225-5292

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1083789598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR NW STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "253-552-2525",
            "fax_number": "253-552-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S UNION AVE STE 130",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051946",
            "telephone_number": "253-552-2525",
            "fax_number": "253-552-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "TROY",
        "middle_name": "A.",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS",
            "identifier": "7573LI",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8336471",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES WC",
            "identifier": "171465",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.