Individual provider Active NPI

Lynsey Lou Hubbard, PT

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1407012800
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009634A Issued in IN
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

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080908000501 IN Practitioner - Physical Therapist in Private Practice 9234205667 Reassigns benefits to 1 organization

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
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

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

LicenseStateTypeSpecialty
05009634AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Mar 6, 2023 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.

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.

Verify at the official NPI Registry.