Lynda Judith Bartholomew
Individual provider Active NPI Physical Therapy Assistant · Fort Wayne, IN
NPI 1194499178 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1194499178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06005893A (IN)
- Practice address
- 3715 Union Chapel Rd
Fort Wayne, IN 46845-7400 - Phone
- (260) 483-5590
- NPI assigned
- Aug 4, 2021
- 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 |
|---|---|---|---|
| 06005893A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06005893A | IN | Yes |
Addresses
Primary practice location
3715 Union Chapel Rd
Fort Wayne, IN 46845-7400
Mailing address
3606 Mulberry Rd
Fort Wayne, IN 46802-4930
Phone (757) 871-7270
Other providers in Fort Wayne, IN
- Cindy Bradtmiller Barron
- Barry J Close OD, Inc.
- Mary Lisa Barta
- Lisa S Bartelheim
- William Barth
- Mya Bartholomew
- Samantha Bartley
- Kylie Bartling-Kennedy
- Valerie Barto
- Amber Bartock
All providers in Fort Wayne, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. 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.