Active NPI
Lindsey M Mackay, PT
- Physical Therapist
- Stevens Point, WI
National Provider Identifier
1285996413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11992
- Practice address
- 900 Illinois Ave
Stevens Point, WI 54481-3114 - Phone
- (715) 346-5000
- NPI assigned
- Jun 13, 2012
- 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 | 11992 | WI | Primary |
Addresses
Primary practice location
900 Illinois Ave
Stevens Point, WI 54481-3114
Mailing address
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11992-24 | Other | WI | WI STATE LICENSE |
Other names 1
- Lindsey M Glass
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11992 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1285996413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ILLINOIS AVE",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813114",
"telephone_number": "715-346-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ILLINOIS AVE",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544813114",
"telephone_number": "715-346-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKAY",
"first_name": "LINDSEY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-13",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI STATE LICENSE",
"identifier": "11992-24",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "GLASS",
"middle_name": "M",
"credential": "RYAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.