Kevin C Lindblom, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33657 Issued in CA

Practice address

1550 Harbor Blvd Ste 120
West Sacramento, CA 95691-3830

Phone

(916) 456-3735

Fax

(916) 456-3735

NPI assigned

Feb 10, 2011

Last updated

Feb 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jagdeep Garcha PTGroup PAC ID 8325313471, 5 clinicians

MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jagdeep Garcha P.T

  dba Crux Rehabilitation

  • Physical Therapist
  • Roseville, CA
  • NPI 1558878918
  Medicare reassignment Care Compare group NPD
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physical Therapy & Rehabilitation Services, PC

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1952882243
  Medicare reassignment NPD
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD
• Physical Therapy & Rehabilitation Services, PC

  • Physical Therapy Clinic/Center
  • Westminster, CO
  • NPI 1811541691

  Physical Therapist

  NPD
• Bay Area Spine & Sport, Inc

  dba Santa Rosa Spine & Sport

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1316930076
  NPD (past)
• Jagdeep Garcha P.T

  dba Crux rehabilitation

  • Physical Therapy Clinic/Center
  • Sacramento, CA
  • NPI 1104349927
  NPD (past)
• Joseph Boehm, P.T.

  dba Los Osos Physical Therapy

  • Physical Therapist
  • Los Osos, CA
  • NPI 1902899875
  NPD (past)

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1548566474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980545",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "957980545",
            "telephone_number": "916-465-3735",
            "fax_number": "916-374-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HARBOR BLVD STE 120",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913830",
            "telephone_number": "916-456-3735",
            "fax_number": "916-456-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBLOM",
        "first_name": "KEVIN",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yi-Chern Lin
• Kerry Ellen Lindgren, RN,PHN, CREDSCHNURSE
• Sorren Lindstrom
• Ashley Linstrom
• Alice Liu-Nguyen
• Bo Liu

• Physical Therapist in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.