Active NPI
Lindi Oberon, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1497784045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004500-1
- Practice address
- 250 W 93Rd St
Lower Level
New York, NY 10025-7391 - Phone
- (212) 580-0125
- Fax
- (212) 580-0860
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 004500-1 | NY | Primary |
Addresses
Primary practice location
250 W 93Rd St
Lower Level
New York, NY 10025-7391
Mailing address
250 W 93Rd St Lowr Level
New York, NY 10025-7391
Phone (212) 580-0125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York Downstate Medical Center, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 W 93Rd St
New York, NY 10025-7391
Phone (516) 829-0030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004500-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
475 Northern Blvd
Ste 27
Great Neck, NY 11021
475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023
250 W 93rd St
Apt Llvl
New York, NY 10025
Phone (212) 580-0125
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1497784045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 93RD ST LOWR LEVEL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257391",
"telephone_number": "212-580-0125",
"fax_number": "212-580-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 W 93RD ST",
"address_2": "LOWER LEVEL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257391",
"telephone_number": "212-580-0125",
"fax_number": "212-580-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERON",
"first_name": "LINDI",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "004500-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.