Active NPI
Patricia F Lindstrom
- Physical Therapist
- Dunwoody, GA
National Provider Identifier
1265458178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002870
- Practice address
- 5342 Tilly Mill Rd
Dunwoody, GA 30338 - Phone
- (770) 395-2643
- Fax
- (770) 393-4374
- NPI assigned
- Jul 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002870 | GA | Primary |
Addresses
Primary practice location
5342 Tilly Mill Rd
Dunwoody, GA 30338
Mailing address
2669 Osborne Rd
Atlanta, GA 30319
Phone (404) 477-7777
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT002870 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BJT and Associates | Physical Therapist | Past | Accepting new patients |
| BJT & Associates | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba The Sports Rehabilitation Center of Brookhaven
- Physical Therapist
- Atlanta, GA
- NPI 1427089101
-
dba The Sports Rehabiliation Center of Dunwoody
- Physical Therapy Clinic/Center
- Dunwoody, GA
- NPI 1114958816
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265458178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2669 OSBORNE RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30319",
"telephone_number": "404-477-7777",
"fax_number": "404-477-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5342 TILLY MILL RD",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "30338",
"telephone_number": "770-395-2643",
"fax_number": "770-393-4374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSTROM",
"first_name": "PATRICIA",
"middle_name": "F",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT002870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.