Lindsay Erin Johnson, DPT
Individual provider Active NPI Physical Therapist · Red Bank, TN
NPI 1124339304 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1124339304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9483 (TN)
- Practice address
- 3214 Dayton Blvd Ste B
Red Bank, TN 37415-5047 - Phone
- (423) 876-8991
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009948 | GA | MD | Physical Therapist |
| 9483 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Infinity Children'S Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
3214 Dayton Blvd
Ste B
Red Bank, TN 37415
Phone (423) 876-8991
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009948 | GA | |
| Physical Therapist | 225100000X | 9483 | TN | Yes |
Addresses
Primary practice location
3214 Dayton Blvd Ste B
Red Bank, TN 37415-5047
Mailing address
3214 Dayton Blvd Ste B
Red Bank, TN 37415-5047
Phone (423) 876-8991
Other practice location 1
7134 Meredith Ct
Ooltewah, TN 37363-5674
Phone (423) 987-7288
Other providers in Red Bank, TN
- Fast Pace Medical Clinic PLLC
- Sarah E Grissom
- Randy Scott Hall
- Kayla Turner Hickman
- Susan Elaine Hickman
- K-VA-T Food Stores Inc
- Colleen Keough
- Jennifer Suzanne Kirk
- Robert Taylor Kokoszka
- Morgan Sullivan Mayfield
All providers in Red Bank, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.