Lindsey Ketterling, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

754 N College Rd Ste D
Twin Falls, ID 83301-5822

Phone

(208) 734-5313

NPI assigned

Jul 6, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID, MT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ieg Zenergy, LLCGroup PAC ID 9830477587, 7 clinicians

MVP Physical Therapy PCGroup PAC ID 3173900016, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ieg Zenergy, LLC

  • Specialist
  • Ketchum, ID
  • NPI 1346698701

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• MVP Physical Therapy PC

  • Physical Therapist
  • Helena, MT
  • NPI 1629726401
  Medicare reassignment Care Compare group
• Zenergy Partners LLC

  • Physical Therapist
  • Ketchum, ID
  • NPI 1427936004
  NPD (past)

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1376926642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 N COLLEGE RD STE D",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015822",
            "telephone_number": "208-734-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 N COLLEGE RD STE D",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015822",
            "telephone_number": "208-734-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTERLING",
        "first_name": "LINDSEY",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT-4184",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth C Romney MD Inc
• Gaige Kepner, DDS
• Melody Kerner, LMSW
• Shannon R Kerrick, MSW, LCSW
• Cathi Baily Ketterling, PHARM. D
• Kevin L Hamblin DDS
• Matthew Jordan Kezele, LPC
• William Kezele
• Mohamed Khalifa
• Kimi Recovery Center LLC

• Physical Therapist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.