Individual provider Active NPI

Lindsay A Perez, MSPT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1164478988
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029414 Issued in NY
Practice address
961 Panorama TRL S
Rochester, NY 14625-2311
Phone
(585) 482-5060
Fax
(585) 512-8372
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15689 MA
Physical Therapist 225100000X 029414 NY Primary

Addresses

Primary practice location

961 Panorama TRL S
Rochester, NY 14625-2311

Mailing address

961 Panorama TRL S
Rochester, NY 14625-2311
Phone (585) 482-5060

Other names 1

  • Lindsay A Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000381 NY Practitioner - Physical Therapist in Private Practice 0941219216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness 360 Physical Therapy and Massage PLLCGroup PAC ID 5294142956, 10 clinicians

Practice addresses (Care Compare)

3313 Chili Ave
Rochester, NY 14624-5300
Phone (585) 469-0201

961 Panorama TRL S
Rochester, NY 14625-2311
Phone (585) 482-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15689MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perez Physical Therapy PLLC Physical Therapist CurrentSince Aug 3, 2025 Accepting new patients
Melissa Clark OT PLLC Physical Therapist PastSince Oct 5, 2025 Accepting new patients
Connections Physical Therapy Inc Physical Therapist Past Accepting new patients

Organizations & group practices 4

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1164478988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 PANORAMA TRL S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252311",
            "telephone_number": "585-482-5060",
            "fax_number": "585-512-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 PANORAMA TRL S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252311",
            "telephone_number": "585-482-5060",
            "fax_number": "585-512-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LINDSAY",
        "middle_name": "A",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15689",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "JACKSON",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.