Lindsay Benson Thome
Individual provider Active NPI Physical Therapist · Ankeny, IA
NPI 1366610644 · NPPES record last updated Feb 20, 2008
Key facts
- NPI
- 1366610644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 03957 (IA)
- Practice address
- 715 SW Ankeny Rd
Ankeny, IA 50023-9798 - Phone
- (515) 965-1339
- Fax
- (515) 964-0567
- NPI assigned
- Feb 20, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advance Hannibal Regional Hospital LLC
Practice addresses (Care Compare)
188 Medical Dr
Hannibal, MO 63401-6877
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130409000538 | MO | Practitioner - Physical Therapist in Private Practice | 2769628197 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03957 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Hannibal Regional Hospital, LLC | Physical Therapist | Current |
Accepting new patients |
| Advance Hannibal Regional Hospital LLC | Physical Therapist | Current |
Accepting new patients |
| Advance Hannibal Regional Hospital, LLC | Physical Therapist | Past | Accepting new patients |
Locations
188 Medical Dr
#A
Hannibal, MO 63401
Phone (573) 406-0576
160 Progress Rd
#111
Hannibal, MO 63401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03957 | IA | Yes |
Addresses
Primary practice location
715 SW Ankeny Rd
Ankeny, IA 50023-9798
Mailing address
715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone (515) 965-1339
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.