Lindsay Matijevich, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10963 Issued in TN

Practice address

1855 Tanner Way
Suite 140
Harriman, TN 37748-8302

Phone

(865) 376-6566

Fax

(865) 376-6806

NPI assigned

Jul 20, 2016

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 TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mossy Creek RehabGroup PAC ID 9537202411, 2 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.

• Mossy Creek Rehab

  • Physical Therapist
  • Jefferson City, TN
  • NPI 1427386200
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1356794887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY",
            "address_2": "SUITE 140",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488302",
            "telephone_number": "865-376-6566",
            "fax_number": "865-376-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIJEVICH",
        "first_name": "LINDSAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula A Margrave, RPH
• Mark B Hellmann DPM
• Tameshia Nicole Martin, MS CCCSLP
• Massage Therapy by Jeff Pressley
• Kenzie Masters, MS, RDN
• Shawn Michael McAward, PT
• Kimberly Ann McCullah, PH.D.
• Christa Jane McFarland
• Jennifer McHardy, MD
• Rachael McKinney, PHARMD

• Physical Therapist in Harriman, TN
• Providers in Harriman, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.