Active NPI
Lindsey Marxen, PT
- Physical Therapist
- Lutherville Timonium, MD
National Provider Identifier
1346725645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27213
- Practice address
- 61 E Padonia Rd Ste E
Lutherville Timonium, MD 21093-2346 - Phone
- (410) 415-1992
- NPI assigned
- Oct 2, 2018
- 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 | 27213 | MD | Primary |
Addresses
Primary practice location
61 E Padonia Rd Ste E
Lutherville Timonium, MD 21093-2346
Mailing address
61 E Padonia Rd Ste E
Lutherville Timonium, MD 21093-2346
Phone (410) 415-1992
Other practice location 1
7138 Windsor Blvd
Baltimore, MD 21244-2705
Phone (443) 364-8182
Other practice location 2
511 Jermor Ln Ste 102
Westminster, MD 21157-6152
Phone (410) 871-2494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 753702602 | Medicaid | MD |
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 |
|---|---|---|---|
| 27213 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1346725645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 E PADONIA RD STE E",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210932346",
"telephone_number": "410-415-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 E PADONIA RD STE E",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210932346",
"telephone_number": "410-415-1992"
}
],
"practiceLocations": [
{
"address_1": "7138 Windsor Blvd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212442705",
"country_code": "US",
"telephone_number": "443-364-8182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "511 Jermor Ln Ste 102",
"address_purpose": "LOCATION",
"city": "Westminster",
"state": "MD",
"postal_code": "211576152",
"country_code": "US",
"telephone_number": "410-871-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARXEN",
"first_name": "LINDSEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "753702602",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lutherville Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.