Active NPI
Carleen Lindsey, PT MS GCS
- Physical Therapist
- Bristol, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002219
- Practice address
- 1001 Farmington Ave
Suite 101
Bristol, CT 06010-3990 - Phone
- (860) 582-8024
- Fax
- (860) 585-0609
- NPI assigned
- Oct 3, 2006
- Last updated
- May 8, 2013
- 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 | 002219 | CT | Primary |
Addresses
Primary practice location
1001 Farmington Ave
Suite 101
Bristol, CT 06010-3990
Mailing address
220 Main St Apt 3J
New Hartford, CT 06057-2714
Phone (860) 738-0272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11293410 | Other | CAQH | |
| 080002219CT01 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of California, San Francisco School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 Dowd Ave
Canton, CT 06019-2401
Phone (860) 693-6226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2219 | CT | MD | Professional Counselor |
| 002219 | CT | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Canton Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy and Massage of CT, LLC | Past | Accepting new patients | |
| Windsor Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
400 Middle St
Bristol, CT 06010
Phone (860) 582-8024
141 Dowd Ave
Canton, CT 06019
Phone (860) 245-1049
36 Main St
Torrington, CT 06790
Phone (860) 482-4888
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
140 Willow St
Ste 3
Winsted, CT 06098
Phone (860) 738-5810
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Canton, CT
- NPI 1649493644
-
- Physical Therapist
- Bristol, CT
- NPI 1568752715
-
- Physical Therapy Clinic/Center
- Bristol, CT
- NPI 1922171537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1306931647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 MAIN ST APT 3J",
"city": "NEW HARTFORD",
"state": "CT",
"postal_code": "060572714",
"telephone_number": "860-738-0272",
"fax_number": "860-738-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 FARMINGTON AVE",
"address_2": "SUITE 101",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060103990",
"telephone_number": "860-582-8024",
"fax_number": "860-585-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSEY",
"first_name": "CARLEEN",
"name_prefix": "Ms.",
"credential": "PT MS GCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "002219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11293410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "080002219CT01",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.