Individual provider Active NPI

Lindsey Johanna Mills, DPT

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1346679222
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 60368576 Issued in WA
Practice address
405 NW Gilman Blvd
Suite 200
Issaquah, WA 98027-2470
Phone
(425) 392-6804
Fax
(425) 392-6805
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 60368576 WA Primary

Addresses

Primary practice location

405 NW Gilman Blvd
Suite 200
Issaquah, WA 98027-2470

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Lindsey Johanna Bozich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209002529 WI Practitioner - Physical Therapist in Private Practice 9931332905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Plus Management CorpGroup PAC ID 9830255918, 14 clinicians

Practice addresses (Care Compare)

700 Pilgrim Pkwy
Suite L8
Elm Grove, WI 53122-2064
Phone (262) 796-2850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 60368576WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Plus Management Corp Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients

Locations

19045 W Capitol Dr
Ste 101
Brookfield, WI 53045
Phone (262) 790-9800

700 Pilgrim Pkwy
Ste L8
Elm Grove, WI 53122
Phone (262) 289-1950

241 N Broadway
Ste 403
Milwaukee, WI 53202
Phone (262) 796-2850

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1346679222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NW GILMAN BLVD",
            "address_2": "SUITE 200",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272470",
            "telephone_number": "425-392-6804",
            "fax_number": "425-392-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "LINDSEY",
        "middle_name": "JOHANNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60368576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "BOZICH",
            "middle_name": "JOHANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.