Active NPI
Lindsay Tyree
- Physical Therapist
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2020029360
- Practice address
- 1475 Kisker Rd
Saint Charles, MO 63304-8781 - Phone
- (636) 498-7474
- NPI assigned
- Oct 20, 2020
- Last updated
- Oct 20, 2020
- 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 | 2020029360 | MO | Primary |
Addresses
Primary practice location
1475 Kisker Rd
Saint Charles, MO 63304-8781
Mailing address
1475 Kisker Rd
Saint Charles, MO 63304-8781
Phone (636) 498-7474
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2020029360 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodycentral Physical Therapy P C | Current | Accepting new patients | |
| Bodycentral Physical Therapy PC | Current | Accepting new patients |
Locations
1231 W Warner Rd
Ste 101
Tempe, AZ 85284
Phone (623) 250-3223
3124 N Swan Rd
Tucson, AZ 85712
Phone (520) 276-1274
7493 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 355-4154
1991 E Ajo Way
Ste 149
Tucson, AZ 85713
Phone (520) 485-5454
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1629057930
-
- Customized Equipment (DME)
- Tucson, AZ
- NPI 1780899369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1487253662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 KISKER RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048781",
"telephone_number": "636-498-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 KISKER RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048781",
"telephone_number": "636-498-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYREE",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2020029360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.