David Josiah Lundy, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2020029837 Issued in MO

Practice address

501 S Madison St Ste L
Webb City, MO 64870-2426

Phone

(417) 673-2156

Fax

(417) 673-2176

NPI assigned

Jan 17, 2022

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1386395804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S MADISON ST STE L",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648702426",
            "telephone_number": "417-673-2156",
            "fax_number": "417-673-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "DAVID",
        "middle_name": "JOSIAH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3315",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2020029837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Lilienkamp, NP-C
• Lincare Inc.
• Nicole Lingenfelter, DPT
• Live Well Psychotherapy Services of Southwest Missouri LLC
• Katlin Loos, PA-C
• Brynn Kimberly Lynch, COTA/L
• Stuart Christian Mauger, DMD
• Cory McLeod, DDS
• Rime Mehannek, MD
• Annette Merritt, RPH

• Physical Therapy Assistant in Webb City, MO
• Providers in Webb City, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.