Lindsey Rae Nordstrom, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018473 Issued in IL

Practice address

312 N Sterling St
Streator, IL 61364-2370

Phone

(815) 672-5500

NPI assigned

Oct 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spry Physical Therapy and Geriatric Wellness, PLLCGroup PAC ID 3779913884, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spry Physical Therapy and Geriatric Wellness, PLLC

  • Physical Therapist
  • Ottawa, IL
  • NPI 1497383673
  Medicare reassignment Care Compare group NPD Authorized official
• Luckey Chiropractic Center Inc.

  • Chiropractor
  • Henry, IL
  • NPI 1083991426
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1295089399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N STERLING ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N STERLING ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642370",
            "telephone_number": "815-672-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "LINDSEY",
        "middle_name": "RAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Moreno
• Jeanette T Mosley, APN
• Dawn J Mueller, P.T.
• Muhammad Zafar MD SC
• New Life Options Counseling Services LLC
• North Central Behavioral Health Systems Inc.
• North Central Behavioral Health Systems Inc.
• North Central Behavioral Health Systems, Inc
• North Central Behavioral Health Systems, Inc.
• North Central Behavioral Health Systems, Inc.

• Physical Therapist in Streator, IL
• Providers in Streator, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.