Individual provider Active NPI

Lindsay Dunkle, PTA

  • Physical Therapy Assistant
  • Montoursville, PA
National Provider Identifier
1528664166
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE012621 Issued in PA
Practice address
1009 Broad St
Montoursville, PA 17754-2509
Phone
(570) 368-8389
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE012621 PA Primary

Addresses

Primary practice location

1009 Broad St
Montoursville, PA 17754-2509

Mailing address

701 Creek Rd
New Columbia, PA 17856-9054

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lycomingpt.com Lycoming Physical Therapy Ltd

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TE012621PAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lycoming Physical Therapy LTD CurrentSince Dec 13, 2020 Accepting new patients
Pennsylvania Institute of Neurology LLC PastSince Dec 13, 2020 Accepting new patients

Locations

1009 Broad St
Montoursville, PA 17754
Phone (570) 368-8389

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17073/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1528664166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CREEK RD",
            "city": "NEW COLUMBIA",
            "state": "PA",
            "postal_code": "178569054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BROAD ST",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177542509",
            "telephone_number": "570-368-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNKLE",
        "first_name": "LINDSAY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE012621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lycomingpt.com",
            "affiliation": "Y",
            "affiliationName": "Lycoming Physical Therapy Ltd",
            "address_1": "1009 Broad St",
            "city": "Montoursville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177542509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montoursville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.