Lyndzie Jackson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10438 Issued in AZ

Practice address

9127 W Thunderbird Rd
BLDG 1 Suite 101
Peoria, AZ 85381-4887

Phone

(480) 222-0655

Fax

(480) 222-1457

NPI assigned

Oct 29, 2013

Sex

Female

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Recovia Physical Therapy LLCGroup PAC ID 4880949148, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Recovia Physical Therapy, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1942708334
  Medicare reassignment Care Compare group NPD
• Ati Holdings of Arizona, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1871570309
  Medicare reassignment
• Recovia LLC

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1386313864
  NPD (past)
• Recovia LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Phoenix, AZ
  • NPI 1568139616
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1346678331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269084",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269084",
            "telephone_number": "623-398-8072",
            "fax_number": "623-398-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9127 W THUNDERBIRD RD",
            "address_2": "BLDG 1 SUITE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814887",
            "telephone_number": "480-222-0655",
            "fax_number": "480-222-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LYNDZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Hawks PC
• Fay A Jackson
• Jerome Alexander-Terrell Jackson
• Julian Jackson
• Larry Tyler Jackson, D.D.S.
• Julie Jacobs, D.O.
• Kaisa T Jacobsen, NP
• Sheddler Straus Jacques, PA
• Dawn Jaeger
• Fatima G Jaffer, L.AC.

• Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.