Individual provider Active NPI

Lyndsay E Gadley, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1467740522
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021416 Issued in PA
Practice address
5008 Baltimore Avenue 2ND Floor, Suite D
Philadelphia, PA 19143
Phone
(215) 650-7383
NPI assigned
Jul 11, 2011
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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 PT021416 PA Primary

Addresses

Primary practice location

5008 Baltimore Avenue 2ND Floor, Suite D
Philadelphia, PA 19143

Mailing address

800 W Penn Pines Blvd
Aldan, PA 19018-4311
Phone (267) 650-3940

Other identifiers 2

IdentifierTypeStateIssuer
1528438793OtherPANPI - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.
47-4506800OtherPATAX ID - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.

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
PT021416PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1467740522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W PENN PINES BLVD",
            "city": "ALDAN",
            "state": "PA",
            "postal_code": "190184311",
            "telephone_number": "267-650-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 BALTIMORE AVENUE 2ND FLOOR, SUITE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19143",
            "telephone_number": "215-650-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADLEY",
        "first_name": "LYNDSAY",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.",
            "identifier": "1528438793",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.",
            "identifier": "47-4506800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.