Individual provider Active NPI

Lindsay Bradshaw, DPT

  • Physical Therapist
  • Dickson, TN
National Provider Identifier
1477243442
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
111 Luther Rd Ste 6
Dickson, TN 37055-2112
Phone
(615) 740-9782
Fax
(615) 740-8510
NPI assigned
May 11, 2023
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 NU Primary

Addresses

Primary practice location

111 Luther Rd Ste 6
Dickson, TN 37055-2112

Mailing address

3000 Edward Curd LN
Franklin, TN 37067-5791
Phone (615) 791-2630

Other practice location 1

3000 Edward Curd Ln
Franklin, TN 37067-5791
Phone (615) 791-2630

Other identifiers 1

IdentifierTypeStateIssuer
0446631MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626001193 TN Practitioner - Physical Therapist in Private Practice 9032653597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3000 Edward Curd Lane
Franklin, TN 37067
Phone (651) 791-2630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bone and Joint Institute of Tennessee Inc CurrentSince Jun 4, 2024 Accepting new patients
Bone and Joint Institute of Tennessee Inc CurrentSince Jun 4, 2024 Accepting new patients
Star Physical Therapy LP Physical Therapist PastSince May 14, 2023 Accepting new patients

Locations

3000 Edward Curd Ln
Franklin, TN 37067
Phone (615) 791-2630

Interoperability endpoints

  • Direct secure messaging: lindsay.bradshaw.1@21476.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1477243442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 EDWARD CURD LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675791",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LUTHER RD STE 6",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552112",
            "telephone_number": "615-740-9782",
            "fax_number": "615-740-8510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Edward Curd Ln",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370675791",
            "country_code": "US",
            "telephone_number": "615-791-2630",
            "fax_number": "615-791-2639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "LINDSAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.