Active NPI
Linette Aine Lord, PTA
- Physical Therapy Assistant
- Carson, CA
National Provider Identifier
1154630945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT4881
- Practice address
- 1 Civic Plaza, Ste. 625
Carson, CA 90745 - Phone
- (310) 549-4500
- NPI assigned
- Sep 28, 2010
- 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 Therapy Assistant | 225200000X | AT4881 | CA | Primary |
Addresses
Primary practice location
1 Civic Plaza, Ste. 625
Carson, CA 90745
Mailing address
11510 215TH St.. #2
Lakewood, CA 90715-2091
Phone (562) 544-5868
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 |
|---|---|---|---|
| AT4881 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supplemental Health Care | Past | Accepting new patients | |
| Supplemental Health Care | Past | Accepting new patients |
Interoperability endpoints
- linette.lord.1@32527.direct.athenahealth.com
- linette.lord.p1@direct.caremorewest.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Carson, CA
- NPI 1295906733
-
- Rehabilitation Hospital
- Carson, CA
- NPI 1942523519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1154630945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11510 215TH ST.. #2",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907152091",
"telephone_number": "562-544-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CIVIC PLAZA, STE. 625",
"city": "CARSON",
"state": "CA",
"postal_code": "90745",
"telephone_number": "310-549-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORD",
"first_name": "LINETTE",
"middle_name": "AINE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT4881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.