Individual provider Active NPI

Lindsey Jo Savage, PT

  • Physical Therapist
  • Rutland, VT
National Provider Identifier
1467476739
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0400003601 Issued in VT
Practice address
1 Scale Ave BLDG 18
Suite 32
Rutland, VT 05701-4452
Phone
(802) 558-4051
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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 0400003601 VT Primary

Addresses

Primary practice location

1 Scale Ave BLDG 18
Suite 32
Rutland, VT 05701-4452

Mailing address

365 US Route 4 E
Rutland, VT 05701-9035
Phone (802) 855-8068

Other identifiers 4

IdentifierTypeStateIssuer
7247681OtherAETNA
00068255OtherBCBS OF VT
1010821MedicaidVT
782958OtherMVP

Other names 1

  • Lindsey Jo Fair Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000715 VT Practitioner - Physical Therapist in Private Practice 0648231639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back on Track Physical Therapy PLLCGroup PAC ID 3274701164, 2 clinicians

Practice addresses (Care Compare)

365 US Route 4 E
Rutland, VT 05701-9035
Phone (802) 855-8068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0400003601VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Track Physical Therapy PLLC Physical Therapist CurrentSince Jul 5, 2011 Accepting new patients

Locations

365 US Route 4 E
Rutland, VT 05701
Phone (802) 855-8068

1 Scale Ave
Ste 32
Rutland, VT 05701
Phone (802) 558-4051

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1467476739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 US ROUTE 4 E",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057019035",
            "telephone_number": "802-855-8068",
            "fax_number": "802-855-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCALE AVE BLDG 18",
            "address_2": "SUITE 32",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014452",
            "telephone_number": "802-558-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "LINDSEY",
        "middle_name": "JO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7247681",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VT",
            "identifier": "00068255",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010821",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "782958",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "FAIR",
            "middle_name": "JO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.