Active NPI
Lindsey Levanen
- Physical Therapist
- Battle Ground, WA
National Provider Identifier
1124506118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61269538
- Practice address
- 19700 NE 157TH Ave
Battle Ground, WA 98604-9268 - Phone
- (360) 723-0010
- NPI assigned
- Aug 1, 2018
- Last updated
- May 31, 2022
- 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 | 61269538 | WA | Primary |
Addresses
Primary practice location
19700 NE 157TH Ave
Battle Ground, WA 98604-9268
Mailing address
19700 NE 157TH Ave
Battle Ground, WA 98604-9268
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 |
|---|---|---|---|
| 61269538 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | 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.
-
dba Providence Newberg Medical Center
- Clinical Pathology Physician
- Newberg, OR
- NPI 1174074868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1124506118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19700 NE 157TH AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19700 NE 157TH AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049268",
"telephone_number": "360-723-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVANEN",
"first_name": "LINDSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61269538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.