Active NPI
Lindsey Michelle Penrod, PT, DPT
- Physical Therapist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1407518
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 305153 | CA | MD | Physical Therapist |
| 1407518 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services TX LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Allen, TX
- NPI 1710582580
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapy Clinic/Center
- Encino, CA
- NPI 1639443690
Physical Therapist
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.