Active NPI
Lindsay Kirlin, D.P.T
- Physical Therapist
- Costa Mesa, CA
National Provider Identifier
1306395488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 292118
- Practice address
- 1555 Mesa Verde Dr E Apt 34a
Costa Mesa, CA 92626-5202 - Phone
- (267) 394-0592
- NPI assigned
- Sep 29, 2016
- 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 | 292118 | CA | Primary |
Addresses
Primary practice location
1555 Mesa Verde Dr E Apt 34a
Costa Mesa, CA 92626-5202
Mailing address
10 Light St
Baltimore, MD 21202-1435
Phone (267) 394-0592
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 |
|---|---|---|---|
| 26921 | MD | MD | Clinical Social Worker |
| 292118 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1306395488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LIGHT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212021435",
"telephone_number": "267-394-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 MESA VERDE DR E APT 34A",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265202",
"telephone_number": "267-394-0592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRLIN",
"first_name": "LINDSAY",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "292118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.