Individual provider Active NPI

Lindsey Marie Krempa

  • Physical Therapist
  • Douglasville, GA
National Provider Identifier
1114572708
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014289 Issued in GA
Practice address
2562 Fairburn Rd
Douglasville, GA 30135-1461
Phone
(770) 577-0399
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 PT014289 GA Primary

Addresses

Primary practice location

2562 Fairburn Rd
Douglasville, GA 30135-1461

Mailing address

222 Colonial Homes Dr NW Unit 2517
Atlanta, GA 30309-1630
Phone (716) 725-3468

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
PT014289GAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1114572708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 COLONIAL HOMES DR NW UNIT 2517",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091630",
            "telephone_number": "716-725-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 FAIRBURN RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351461",
            "telephone_number": "770-577-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMPA",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.