Lynn Rushing Lassiter, PT, DPT, CIMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206084 Issued in VA

Practice address

350 W 22ND St Ste 108
Norfolk, VA 23517-2107

Phone

(757) 216-4151

NPI assigned

Jul 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Dr. Lynn Marcella Rushing Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Integrative Manual Therapy & Wellness

  • Physical Therapist
  • Norfolk, VA
  • NPI 1689701856
  NPD
• Norfolk Integrative Manual Therapy

  • Physical Therapist
  • Norfolk, VA
  • NPI 1265568026
  NPD (past)

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1396975215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 22ND ST STE 108",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172107",
            "telephone_number": "757-216-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 22ND ST STE 108",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172107",
            "telephone_number": "757-216-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662402",
            "country_code": "US",
            "telephone_number": "757-838-6678",
            "fax_number": "757-838-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "LYNN",
        "middle_name": "RUSHING",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CIMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206084",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9838376",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396975215",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS (PHYSICAL THERAPY)",
            "identifier": "192931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00733187",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "RUSHING",
            "middle_name": "MARCELLA",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffery Brougham Larsen, DMD
• Jeanette Pueschel Larson, MD
• Kindra Anne Larson, MD
• Mark Anthony Larusso, D.D.S.
• Ladonia D Lassiter, CPHT
• Julia Louise Lasswell, MD
• Emily Faye Latimer
• Kelly Maya Latimer, MD
• Rosiris Latoni-Villar, RDH
• Debra Laughlin, CRNA

• Physical Therapist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; 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.