Individual provider Active NPI

Lindsey West, PT, DPT

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1407135965
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41443 Issued in CA
Practice address
2798 Yulupa Ave Ste 1
Santa Rosa, CA 95405
Phone
(707) 527-4001
NPI assigned
Aug 15, 2011
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1209481 TX
Physical Therapist 225100000X PT41443 CA Primary

Addresses

Primary practice location

2798 Yulupa Ave Ste 1
Santa Rosa, CA 95405

Mailing address

2798 Yulupa Ave Ste 1
Santa Rosa, CA 95405-8570
Phone (707) 527-4001

Other practice location 1

3645 N Beach St
Fort Worth, TX 76137-3242
Phone (817) 759-0004

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

LicenseStateTypeSpecialty
41443CAMDGeneral Practice Dentistry
PT41443CAMDPhysical Therapist
1209481TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
VI Practice Management Consulting Services LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1407135965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2798 YULUPA AVE STE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058570",
            "telephone_number": "707-527-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2798 YULUPA AVE STE 1",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95405",
            "telephone_number": "707-527-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3645 N Beach St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761373242",
            "country_code": "US",
            "telephone_number": "817-759-0004",
            "fax_number": "817-759-0003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "LINDSEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1209481",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.