Jonathan Lindau, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2819 Midway Rd SE Ste 114
Bolivia, NC 28422-8379

Phone

(910) 253-9964

NPI assigned

Jun 8, 2022

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1306575048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PLACID AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411621",
            "telephone_number": "845-741-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 MIDWAY RD SE STE 114",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228379",
            "telephone_number": "910-253-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAU",
        "first_name": "JONATHAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Laboccetta
• Elizabeth Langer
• Latonya Lee Niang & Associates (Comp Serv Health Resources)
• Rebecca Clare Lee, M.D.
• Raven Grace Lefebvre, LCSW
• Emily Grace Lineberger, CNM, WHNP
• Cecilia Liu, DDS
• Derek Macdonald
• Zachary Davis Maier, PA-C
• Ravi Shankar Maisuria, DDS

• Physical Therapist in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.