Active NPI
Lynsey Lou Hubbard, PT
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1407012800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009634A
- Practice address
- 1815 N Capitol Ave
Ste 600
Indianapolis, IN 46202-1288 - Phone
- (317) 924-8636
- Fax
- (317) 921-0237
- NPI assigned
- Aug 5, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05009634A | IN | Primary |
Addresses
Primary practice location
1815 N Capitol Ave
Ste 600
Indianapolis, IN 46202-1288
Mailing address
1815 N Capitol Ave
Ste 600
Indianapolis, IN 46202-1288
Phone (317) 924-8636
Other names 1
- Lynsey Lou Hourigan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10799 Alliance Dr
Camby, IN 46113-8909
Phone (317) 821-0444
8905 Evergreen Ave
Indianapolis, IN 46240-2000
Phone (317) 571-1250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009634A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| K Donald Shelbourne MD LLC | Past | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 3
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.
-
- Physical Therapist
- Kokomo, IN
- NPI 1518069913
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Orthopedic Physical Therapist
- Indianapolis, IN
- NPI 1538166988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1407012800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 N CAPITOL AVE",
"address_2": "STE 600",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021288",
"telephone_number": "317-924-8636",
"fax_number": "317-921-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 N CAPITOL AVE",
"address_2": "STE 600",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021288",
"telephone_number": "317-924-8636",
"fax_number": "317-921-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "LYNSEY",
"middle_name": "LOU",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2023-03-09",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009634A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNSEY",
"last_name": "HOURIGAN",
"middle_name": "LOU",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.