Evolving Gait Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EVOLVING GAIT PHYSICAL THERAPY

Practice address

12 Platinum CT
Medford, NY 11763-2247

Phone

(631) 320-1111

Fax

(631) 314-4502

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Scott Lindsay, PTNPI 1205847308

Title

Director

Phone

(631) 320-1111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Richard Lindsay, PT, DPT

  • Physical Therapist
  • Port Jefferson, NY
  • NPI 1205847308
  NPD Authorized official

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1407571292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PLATINUM CT",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632247",
            "telephone_number": "631-320-1111",
            "fax_number": "631-314-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PLATINUM CT",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632247",
            "telephone_number": "631-320-1111",
            "fax_number": "631-314-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1823 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117061721",
            "country_code": "US",
            "telephone_number": "631-320-1111",
            "fax_number": "631-314-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVING GAIT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-320-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Engebretsen
• Keri Ann Engel, LPN
• Joselyn Escajadillo
• Maureen Teresa Escobar, M.A., CCC/SLP
• Kristen Beth Esposito, NP
• Evolving Gait Physical Therapy, P.C.
• Eyeglass Service Industries
• Sabrina Joy Facciponte
• Family Residences and Essential Enterprises
• Melissa A Fardella

• Physical Therapist in Medford, NY
• Providers in Medford, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.