Individual provider Active NPI

Lindsey Michelle Penrod, PT, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1295501849
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407518 Issued in TX
Practice address
13413 Bolivia Dr
Austin, TX 78729-8053
Phone
(432) 254-0303
NPI assigned
Nov 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305153 CA
Physical Therapist 225100000X 1407518 TX Primary

Addresses

Primary practice location

13413 Bolivia Dr
Austin, TX 78729-8053

Mailing address

13413 Bolivia Dr
Austin, TX 78729-8053

Other names 1

  • Lindsey Michelle Wagner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231213001417 CA Practitioner - Physical Therapist in Private Practice 3678922838 Reassigns benefits to 2 organizations
I20251119003753 TX Practitioner - Physical Therapist in Private Practice 3678922838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services TX LLCGroup PAC ID 7113330879, 122 clinicians

Practice addresses (Care Compare)

13001 Hillcrest Rd
Dallas, TX 75240-5402
Phone (877) 407-3422

4101 W Arkansas LN
Arlington, TX 76016-1496
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305153CAMDPhysical Therapist
1407518TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lurie Physical Therapy PC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients
Fox Rehabilitation Services TX LLC Physical Therapist CurrentSince Oct 2, 2025 Accepting new patients

Locations

17071 Ventura Blvd
Ste 103
Encino, CA 91316
Phone (818) 232-4884

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

8974 Tampa Ave
Northridge, CA 91324
Phone (818) 213-2241

4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671

13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267

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.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1295501849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13413 BOLIVIA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787298053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13413 BOLIVIA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787298053",
            "telephone_number": "432-254-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENROD",
        "first_name": "LINDSEY",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305153",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "WAGNER",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.