Individual provider Active NPI

Lindsey Jackman, DPT

  • Physical Therapist
  • Waterford, MI
National Provider Identifier
1144193483
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501304159 Issued in MI
Practice address
5225 Highland Rd
Waterford, MI 48327-1916
Phone
(248) 673-6980
Fax
(248) 673-7497
NPI assigned
Sep 24, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 5501304159 MI Primary

Addresses

Primary practice location

5225 Highland Rd
Waterford, MI 48327-1916

Mailing address

64 Shotwell St
White Lake, MI 48386-2462
Phone (248) 635-1158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007001482 MI Practitioner - Physical Medicine and Rehabilitation 8729585864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of Oakland County PCGroup PAC ID 1153343504, 24 clinicians
Clinic for Functional Physical Therapy IncGroup PAC ID 0749260230, 3 clinicians

Practice addresses (Care Compare)

44038 Woodward Ave
Suite 200
Bloomfield Hills, MI 48302-5037
Phone (248) 335-2977

5225 Highland Rd
Waterford, MI 48327-1916
Phone 2486736980248673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Functional Physical Therapy Inc. Physical Therapist CurrentSince Sep 24, 2025 Accepting new patients
Functional Physical Therapy of Ohio Inc Physical Therapist PastSince Sep 24, 2025 Accepting new patients

Locations

5225 Highland Rd
Waterford, MI 48327
Phone (248) 673-6980

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1144193483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SHOTWELL ST",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483862462",
            "telephone_number": "248-635-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271916",
            "telephone_number": "248-673-6980",
            "fax_number": "248-673-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "LINDSEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501304159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.