Individual provider Active NPI

Linsey Martin

  • Physical Therapist
  • Clermont, GA
National Provider Identifier
1104241330
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1239672 Issued in TX
Practice address
8201 Breezy LN
Clermont, GA 30527-2122
Phone
(214) 417-2613
NPI assigned
Feb 25, 2014
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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 1239672 TX Primary

Addresses

Primary practice location

8201 Breezy LN
Clermont, GA 30527-2122

Mailing address

8201 Breezy LN
Clermont, GA 30527-2122

Other names 1

  • Linsey Maegen Heidelberg Former name

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
1239672TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Aug 8, 2022 Accepting new patients
Linsey Martin Physical Therapy LLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

1350 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 331-0107

1353 N Westmoreland Rd
Bldg F
Dallas, TX 75211
Phone (214) 331-0109

1380 River Bend Dr
Dallas, TX 75247
Phone (214) 743-1272

1881 Sylvan Ave
Ste 150
Dallas, TX 75208
Phone (214) 331-0107

1881 Sylvan Ave
Ste 200
Dallas, TX 75208
Phone (214) 331-0107

9708 Skillman St
Dallas, TX 75243
Phone (214) 221-5433

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, 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": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1104241330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 BREEZY LN",
            "city": "CLERMONT",
            "state": "GA",
            "postal_code": "305272122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 BREEZY LN",
            "city": "CLERMONT",
            "state": "GA",
            "postal_code": "305272122",
            "telephone_number": "214-417-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LINSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1239672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINSEY",
            "last_name": "HEIDELBERG",
            "middle_name": "MAEGEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clermont, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.