Organization Active NPI

Lynn Culbertson Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Mohegan Lake, NY
National Provider Identifier
1497133771
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
030322 Issued in NY
Legal business name
LYNN CULBERTSON PHYSICAL THERAPY PLLC
Practice address
1887 E Main St
Mohegan Lake, NY 10547-1249
Phone
(914) 743-7111
Fax
(914) 743-7100
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lynn Ann Culbertson, DPTNPI 1306006770
Title
Physical Therapist
Phone
(914) 714-3794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 030322 NY Primary

Addresses

Primary practice location

1887 E Main St
Mohegan Lake, NY 10547-1249

Mailing address

1312 Lydia CT
Mohegan Lake, NY 10547-1907
Phone (914) 743-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161122001340 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375822919 Receives reassigned benefits from 1 practitioner
Practice locations: Mohegan Lake, NY; Croton on Hudson, NY

National Provider Directory

National Provider Directory

Locations

43 Old Post Rd S
Croton on Hudson, NY 10520
Phone (914) 743-7111

1887 E Main St
Mohegan Lake, NY 10547
Phone (914) 743-7111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1497133771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 LYDIA CT",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471907",
            "telephone_number": "914-743-7111",
            "fax_number": "914-743-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 E MAIN ST",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471249",
            "telephone_number": "914-743-7111",
            "fax_number": "914-743-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN CULBERTSON PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "CULBERTSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "914-714-3794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "030322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohegan Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.