Lindsay Joy Extine
Individual provider Active NPI Physical Therapy Assistant · Perrysville, OH
NPI 1194179945 · NPPES record last updated Apr 19, 2016
Key facts
- NPI
- 1194179945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 09115 (OH)
- Practice address
- 1050 Mowery Rd
Perrysville, OH 44864-9685 - Phone
- (419) 606-4388
- NPI assigned
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09115 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 09115 | OH | Yes |
Addresses
Primary practice location
1050 Mowery Rd
Perrysville, OH 44864-9685
Mailing address
1050 Mowery Rd
Perrysville, OH 44864-9685
Phone (419) 606-4388
Other providers in Perrysville, OH
- Xander Danehart
- Jasmine Davis
- Jennifer Louise Dewitt
- Lisa Doster
- Edwin Everhart
- Tanya Fellure
- Amanda Fox
- Daniel Gentile
- Dawn Gerrell
- Kyle Goldsmith
All providers in Perrysville, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.