Active NPI
Lynn Ingalls, MSDPT
- Orthopedic Physical Therapist
- Mesa, AZ
National Provider Identifier
1396026100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 6228
- Practice address
- 6343 E Main St
Suite 8
Mesa, AZ 85205-8954 - Phone
- (480) 325-8838
- Fax
- (480) 325-9191
- NPI assigned
- Sep 7, 2011
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 6228 | AZ | Primary |
Addresses
Primary practice location
6343 E Main St
Suite 8
Mesa, AZ 85205-8954
Mailing address
6343 E Main St
Suite 8
Mesa, AZ 85205-8954
Phone (480) 325-8838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260534 | Medicaid | AZ |
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 |
|---|---|---|---|
| 014708 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Orthopedic | Past | Accepting new patients |
| Encompass Health Rehabilitation Hospital of Florence, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Hospital
- Florence, SC
- NPI 1598738296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1396026100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6343 E MAIN ST",
"address_2": "SUITE 8",
"city": "MESA",
"state": "AZ",
"postal_code": "852058954",
"telephone_number": "480-325-8838",
"fax_number": "480-325-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6343 E MAIN ST",
"address_2": "SUITE 8",
"city": "MESA",
"state": "AZ",
"postal_code": "852058954",
"telephone_number": "480-325-8838",
"fax_number": "480-325-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGALLS",
"first_name": "LYNN",
"credential": "MSDPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "6228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260534",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.