Individual provider Active NPI

Lindsay Rittersdorf, PT, DPT, CBIS

  • Physical Therapist
  • Romulus, MI
National Provider Identifier
1225476765
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015750 Issued in MI
Practice address
10909 Hannan Rd
Romulus, MI 48174-1383
Phone
(734) 893-1033
NPI assigned
Jun 6, 2013
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 5501015750 MI Primary

Addresses

Primary practice location

10909 Hannan Rd
Romulus, MI 48174-1383

Mailing address

10909 Hannan Rd
Romulus, MI 48174-1383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140520002425 MI Practitioner - Physical Therapist in Private Practice 3375766397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DPT Holdings LLCGroup PAC ID 4688679293, 170 clinicians

Practice addresses (Care Compare)

2520 E Jolly Rd
Suite C
Lansing, MI 48910-5729
Phone (800) 974-4378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings LLC CurrentSince Jul 2, 2023 Accepting new patients
DPT Holdings LLC PastSince Mar 19, 2023 Accepting new patients
Resilire Neurorehabilitation PastSince May 17, 2021 Accepting new patients

Locations

2520 E Jolly Rd
Ste C
Lansing, MI 48910
Phone (517) 306-4919

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1225476765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 HANNAN RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 HANNAN RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741383",
            "telephone_number": "734-893-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTERSDORF",
        "first_name": "LINDSAY",
        "credential": "PT, DPT, CBIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.