Individual provider Active NPI

Lynsey Steinbach, DPT

  • Physical Therapist
  • Peoria, IL
National Provider Identifier
1255713798
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021314 Issued in IL
Practice address
5009 N Executive Dr Ste B
Peoria, IL 61614
Phone
(309) 839-8631
Fax
(855) 579-3536
NPI assigned
Jun 21, 2015
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070021314 IL
Physical Therapist 225100000X 070021314 IL Primary

Addresses

Primary practice location

5009 N Executive Dr Ste B
Peoria, IL 61614

Mailing address

5009 N Executive Dr Ste B
Peoria, IL 61614-4866
Phone (309) 839-8631

Other practice location 1

719 W Lake Ave
Peoria, IL 61614-5941
Phone (309) 839-8631

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
070021314ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group Physical Therapy Past Accepting new patients

Organizations & group practices 1

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": "1434844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1255713798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 N EXECUTIVE DR STE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144866",
            "telephone_number": "309-839-8631",
            "fax_number": "855-579-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 N EXECUTIVE DR STE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61614",
            "telephone_number": "309-839-8631",
            "fax_number": "855-579-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 W Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616145941",
            "country_code": "US",
            "telephone_number": "309-839-8631",
            "fax_number": "855-579-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINBACH",
        "first_name": "LYNSEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-21",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070021314",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.