Active NPI
Lindsay E Mittelman, PT, DPT
- Physical Therapist
- Buffalo Grove, IL
National Provider Identifier
1164544615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.015201
- Practice address
- 35 Wakefield LN
Buffalo Grove, IL 60089-1542 - Phone
- (847) 899-8582
- Fax
- (847) 777-1747
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 070.015201 | IL | Primary |
Addresses
Primary practice location
35 Wakefield LN
Buffalo Grove, IL 60089-1542
Mailing address
35 Wakefield LN
Buffalo Grove, IL 60089-1542
Phone (847) 899-8582
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 |
|---|---|---|---|
| 070.015201 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448668800000",
"number": "1164544615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 WAKEFIELD LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891542",
"telephone_number": "847-899-8582",
"fax_number": "847-777-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 WAKEFIELD LN",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891542",
"telephone_number": "847-899-8582",
"fax_number": "847-777-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITTELMAN",
"first_name": "LINDSAY",
"middle_name": "E",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2015-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.015201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.