Individual provider Active NPI

Lindsey Faith Viorde, PT, DPT

  • Physical Therapist
  • Port Orange, FL
National Provider Identifier
1225485139
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31401 Issued in FL
Practice address
733 Dunlawton Ave Ste 103
Port Orange, FL 32127-4226
Phone
(386) 756-0077
Fax
(386) 756-6811
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 31401 FL Primary

Addresses

Primary practice location

733 Dunlawton Ave Ste 103
Port Orange, FL 32127-4226

Mailing address

733 Dunlawton Ave Ste 103
Port Orange, FL 32127-4226
Phone (386) 756-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31401FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1225485139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 DUNLAWTON AVE STE 103",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274226",
            "telephone_number": "386-756-0077",
            "fax_number": "386-756-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 DUNLAWTON AVE STE 103",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274226",
            "telephone_number": "386-756-0077",
            "fax_number": "386-756-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIORDE",
        "first_name": "LINDSEY",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.