Individual provider Active NPI

Lindsay Marie Pendleton, DPT

  • Physical Therapist
  • Greeley, CO
National Provider Identifier
1558054395
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0018388 Issued in CO
Practice address
4663 W 20TH Street Rd
Greeley, CO 80634-3246
Phone
(303) 709-4100
NPI assigned
May 29, 2023
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0018388 CO Primary

Addresses

Primary practice location

4663 W 20TH Street Rd
Greeley, CO 80634-3246

Mailing address

1626 41St Ave
Greeley, CO 80634-3322
Phone (303) 775-3696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308002453 CO Practitioner - Physical Therapist in Private Practice 0042656340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Point Sports Medicine and Rehabilitation IncGroup PAC ID 8325031313, 9 clinicians

Practice addresses (Care Compare)

6801 W 20TH St
Unit 203
Greeley, CO 80634-9640
Phone (970) 339-5319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0018388COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Point Sports Medicine & Rehabilitation Inc. Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
The Point Sports Medicine & Rehabilitation Inc. Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients

Locations

4663 W 20th Street Rd
Greeley, CO 80634
Phone (970) 352-8762

6801 W 20th St
Unit 203
Greeley, CO 80634
Phone (970) 339-5319

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.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1558054395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 41ST AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343322",
            "telephone_number": "303-775-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4663 W 20TH STREET RD",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343246",
            "telephone_number": "303-709-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0018388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.