Active NPI
Lindsey Marie Partridge-Gremmo, DPT
- Physical Therapist
- Meridian, ID
National Provider Identifier
1114295748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2941
- Practice address
- 3025 W Cherry LN Ste D
Meridian, ID 83642-8531 - Phone
- (208) 367-8593
- NPI assigned
- Dec 10, 2011
- Last updated
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2941 | ID | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT-2941 | ID |
Addresses
Primary practice location
3025 W Cherry LN Ste D
Meridian, ID 83642-8531
Mailing address
3025 W Cherry LN Ste D
Meridian, ID 83642-8531
Phone (208) 367-8593
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 |
|---|---|---|---|
| PT-2941 | ID | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1770687857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1114295748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 W CHERRY LN STE D",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428531",
"telephone_number": "208-367-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 W CHERRY LN STE D",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428531",
"telephone_number": "208-367-8593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTRIDGE-GREMMO",
"first_name": "LINDSEY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-10",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2941",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "ID",
"license": "PT-2941",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.