Active NPI
Lynn M Herbert, P.T.
- Physical Therapist
- Monterey, CA
National Provider Identifier
1104958461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16302
- Practice address
- 857 Cass St
Suite a
Monterey, CA 93940-2919 - Phone
- (831) 644-0450
- Fax
- (831) 644-0466
- NPI assigned
- Mar 12, 2007
- 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 | 16302 | AZ | Primary |
Addresses
Primary practice location
857 Cass St
Suite a
Monterey, CA 93940-2919
Mailing address
857 Cass St
Suite a
Monterey, CA 93940-2919
Phone (831) 644-0450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT163066 | Other | CA | GROUP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16302 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Balance & Rehabilitation | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Monterey, CA
- NPI 1316057771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104958461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 CASS ST",
"address_2": "SUITE A",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402919",
"telephone_number": "831-644-0450",
"fax_number": "831-644-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 CASS ST",
"address_2": "SUITE A",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402919",
"telephone_number": "831-644-0450",
"fax_number": "831-644-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERT",
"first_name": "LYNN",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "16302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "OPT163066",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monterey, 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.