Lindsey Kacenjar, LINDSEY KACENJAR

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011076 Issued in OH

Practice address

315 Williamsburg Dr
Avon Lake, OH 44012-2617

Phone

(216) 513-3325

NPI assigned

Aug 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsey Kacenjar Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1104058437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WILLIAMSBURG DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WILLIAMSBURG DR",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440122617",
            "telephone_number": "216-513-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACENJAR",
        "first_name": "LINDSEY",
        "credential": "LINDSEY KACENJAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "KACENJAR",
            "credential": "LINDSEY KACENJAR PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Physical Therapist in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.