Terren Yvon Lansdaal

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

61213718 Issued in WA

Practice address

330 Madison Ave S
Bainbridge Island, WA 98110-2544

Phone

(206) 451-4308

NPI assigned

Sep 22, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Teresa Yvonne Lansdaal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powers Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Bainbridge Island, WA
  • NPI 1972824316
  NPD (past)

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1215608039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053002",
            "telephone_number": "206-470-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MADISON AVE S",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102544",
            "telephone_number": "206-451-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANSDAAL",
        "first_name": "TERREN",
        "middle_name": "YVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61213718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "LANSDAAL",
            "middle_name": "YVONNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Stacy Kress, PSYD
• Emily Elizabeth Kroman
• Sharon Lynn Kuznetsov, OTR/L, CHT
• Laboratory Corporation of America
• Lillian Patricia Langtree, LMP
• Bonnie A Lash, FNP
• Laural Casal Counseling, LLC (Tether & Tide Counseling)
• Kelly L Lawson, ARNP
• Kim Leatham, MD
• John Quint Leatherman

• Speech-Language Pathologist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.