Individual provider Active NPI

Lindsay Guth, PT

  • Physical Therapist
  • Morris, IL
National Provider Identifier
1184752651
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015574 Issued in IL
Practice address
201 E US Route 6
Morris, IL 60450-8967
Phone
(815) 416-0046
Fax
(815) 416-0150
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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 070015574 IL Primary

Addresses

Primary practice location

201 E US Route 6
Morris, IL 60450-8967

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Lindsay Moushon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180905003965 TN Practitioner - Physical Therapist in Private Practice 3274639562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Physical Therapy LPGroup PAC ID 5496662421, 18 clinicians

Practice addresses (Care Compare)

610 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone (615) 849-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11662TNMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Physical Therapy LP Physical Therapist CurrentSince Feb 24, 2023 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Star Physical Therapy LP Physical Therapist CurrentSince Feb 24, 2023 Accepting new patients
MCM Rehabilitation LLC CurrentSince Mar 1, 2018 Accepting new patients
Star Physical Therapy LP Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Payshere Cir
Chicago, IL 60674

777 Bell Rd
Antioch, TN 37013
Phone (615) 731-0124

1855 Tanner Way
Ste 140
Harriman, TN 37748
Phone (865) 376-6566

2125 Northpoint Blvd
Hixson, TN 37343
Phone (423) 875-3367

9450 S Northshore Dr
Ste 103104
Knoxville, TN 37922
Phone (865) 251-0107

610 E Clark Blvd
Murfreesboro, TN 37130
Phone (615) 849-8550

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1184752651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604508967",
            "telephone_number": "815-416-0046",
            "fax_number": "815-416-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTH",
        "first_name": "LINDSAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "MOUSHON",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.