Active NPI
Lyndsie Von Javier, DPT
- Physical Therapist
- San Dimas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39325
- Practice address
- 1740 S San Dimas Ave
San Dimas, CA 91773-5108 - Phone
- (909) 394-0304
- Fax
- (909) 305-4647
- NPI assigned
- Oct 17, 2012
- 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 | PT39325 | CA | Primary |
Addresses
Primary practice location
1740 S San Dimas Ave
San Dimas, CA 91773-5108
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, AZ
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5803 W Northern Ave
Suite 110
Glendale, AZ 85301-1362
Phone (623) 295-3699
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27836 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Past | Accepting new patients | |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
5803 W Northern Ave
Ste 110
Glendale, AZ 85301
Phone (623) 295-3699
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
137 W High St
Ste 3
Elkton, MD 21921
Phone (410) 392-7027
137 W High St
Ste 3A
Elkton, MD 21921
Phone (410) 392-7027
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
4853 Pulaski Hwy
Ste 315
Perryville, MD 21903
Phone (443) 693-8000
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280
Organizations & group practices 5
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
- Phoenix, AZ
- NPI 1871570309
-
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DC, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Forest Hill, MD
- NPI 1013109099
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1457604274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 S SAN DIMAS AVE",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917735108",
"telephone_number": "909-394-0304",
"fax_number": "909-305-4647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVIER",
"first_name": "LYNDSIE",
"middle_name": "VON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT39325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.