NPIMap

Individual provider Active NPI

Lindsay Anne Carroll, DPT

  • Physical Therapist
  • Warrenton, VA
National Provider Identifier
1083976658
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207399 Issued in VA
Practice address
40 N Hill Dr
Warrenton, VA 20186-2610
Phone
(540) 341-1922
Fax
(540) 341-1923
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 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 2305207399 VA Primary

Addresses

Primary practice location

40 N Hill Dr
Warrenton, VA 20186-2610

Mailing address

1047 Skyview Dr
Annapolis, MD 21409-5030
Phone (410) 279-1512

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

LicenseStateTypeSpecialty
2305207399VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blaser Physical Therapy Physical Therapist PastSince Sep 30, 1996 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lindsay.carroll.1@13270.direct.athenahealth.com

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1083976658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 SKYVIEW DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095030",
            "telephone_number": "410-279-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N HILL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862610",
            "telephone_number": "540-341-1922",
            "fax_number": "540-341-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LINDSAY",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.