Lindsey Tate, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015242 Issued in OH

Practice address

14176 National Rd SW
Etna, OH 43068-3363

Phone

(740) 927-6782

Fax

(740) 927-9018

NPI assigned

Aug 5, 2013

Last updated

Jan 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsey Countryman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Park Rehab Inc.Group PAC ID 6901237155, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Park Rehab, Inc.

  • Geriatric Physical Therapist
  • Etna, OH
  • NPI 1790981033
  Medicare reassignment Care Compare group NPD
• Executive Fitness Inc

  dba Timothy B Soder Physical Therapy

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1881710192
  NPD (past)

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1447682125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14176 NATIONAL RD SW",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430683363",
            "telephone_number": "740-927-6782",
            "fax_number": "740-927-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14176 NATIONAL RD SW",
            "city": "ETNA",
            "state": "OH",
            "postal_code": "430683363",
            "telephone_number": "740-927-6782",
            "fax_number": "740-927-9018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2779 W Horizon Ridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524185",
            "country_code": "US",
            "telephone_number": "702-897-1222",
            "fax_number": "702-897-1252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "LINDSEY",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT015242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "customerservice@parkrehab.com",
            "affiliation": "N",
            "endpointDescription": "park rehab customer service",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14176 National Rd SW",
            "city": "Etna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430683363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "COUNTRYMAN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latrice Sheppard
• Lakresha Ann Smith
• Nancy Streets
• Strength in Home Care
• T5 Care Services LLC
• The Chosen Healthcare Services LLC
• Noelle Thompson
• Tara Georganne Thompson, DPT
• Jaime Lynn Thornton
• Bishnu L Timsina

• Physical Therapist in Etna, OH
• Providers in Etna, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.