Active NPI
Lindsay Webb
- Physical Therapist
- Bonaire, GA
National Provider Identifier
1124436241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011620
- Practice address
- 101 Stillwater Cir
Bonaire, GA 31005-3857 - Phone
- (478) 293-1680
- Fax
- (478) 293-1685
- NPI assigned
- Aug 1, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011620 | GA | Primary |
Addresses
Primary practice location
101 Stillwater Cir
Bonaire, GA 31005-3857
Mailing address
PO Box 370
Fortson, GA 31808-0370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT011620 | Other | GA | STATE LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1124436241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"fax_number": "706-494-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 STILLWATER CIR",
"city": "BONAIRE",
"state": "GA",
"postal_code": "310053857",
"telephone_number": "478-293-1680",
"fax_number": "478-293-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-01",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT011620",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bonaire, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.