Individual provider Active NPI

Brenda J. Lindsay, B.S., P.T

  • Pediatric Physical Therapist
  • McAllen, TX
National Provider Identifier
1114086154
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1048601 Issued in TX
Practice address
516 E Yucca Ave
McAllen, TX 78504-2365
Phone
(956) 630-6365
Fax
(956) 630-6365
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1048601 TX Primary

Addresses

Primary practice location

516 E Yucca Ave
McAllen, TX 78504-2365

Mailing address

516 E Yucca Ave
McAllen, TX 78504-2365
Phone (956) 630-6365

Other identifiers 3

IdentifierTypeStateIssuer
742965954OtherTXFACILITY TAX ID NO.
143404501MedicaidTX
742629110MedicaidTX

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1048601TXMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1114086154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E YUCCA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042365",
            "telephone_number": "956-630-6365",
            "fax_number": "956-630-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E YUCCA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042365",
            "telephone_number": "956-630-6365",
            "fax_number": "956-630-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "BRENDA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "B.S., P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1048601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY TAX ID NO.",
            "identifier": "742965954",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143404501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "742629110",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.