Active NPI
Mary Ann Lindell, P.T.
- Physical Therapist
- Kingsburg, CA
National Provider Identifier
1104913227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1986
- Practice address
- 1448 Washington St
Kingsburg, CA 93631-1931 - Phone
- (559) 897-0112
- Fax
- (559) 897-0112
- NPI assigned
- Oct 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1986 | CA | Primary |
Addresses
Primary practice location
1448 Washington St
Kingsburg, CA 93631-1931
Mailing address
1746 Avenue 400
Kingsburg, CA 93631-9117
Phone (559) 897-7464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT1986 | Other | CA | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT1986 | CA | MD | Physical Therapist |
| 1986 | CA | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104913227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 AVENUE 400",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936319117",
"telephone_number": "559-897-7464",
"fax_number": "559-897-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 WASHINGTON ST",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936311931",
"telephone_number": "559-897-0112",
"fax_number": "559-897-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDELL",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT1986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PT1986",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.