Lindsey Klein, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004536 Issued in GA

Practice address

1820 Highway 20 SE Ste 160
Conyers, GA 30013-2080

Phone

(770) 929-8872

Fax

(770) 929-8890

NPI assigned

Jun 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Total Body Wellness Pro

  • Physical Medicine & Rehabilitation Physician
  • Snellville, GA
  • NPI 1194228213
  NPD (past)

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1184292013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 HIGHWAY 20 SE STE 160",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132080",
            "telephone_number": "770-929-8872",
            "fax_number": "770-929-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 Lawrenceville Road",
            "address_2": "suite c",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300522609",
            "country_code": "US",
            "telephone_number": "678-821-2810",
            "fax_number": "678-894-0342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "LINDSEY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Kinkartz, MD
• Mary Diane Kinsella, M.D.
• Ted M Kirk, SOCIAL WORKER
• Sarah Kirkpatrick, M. ED., CCC-SLP
• Annmarie Suzette Klein, RD
• Tania A. Klubenspies, D.C.
• Vanessa Knight
• Edwina Lenora Knox, LCSW
• Mary Elizabeth Koho, MSN, CNM, WHNP
• Melissa J Kolazyk, PT, DPT

• All providers in Conyers, GA
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.