Individual provider Active NPI

Lindsay Yanaros, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1578178307
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17253 Issued in CO
Practice address
1625 Medical Center PT Ste 180
Colorado Springs, CO 80907-5798
Phone
(719) 344-9497
Fax
(719) 358-6042
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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 Therapist 225100000X 17253 CO Primary

Addresses

Primary practice location

1625 Medical Center PT Ste 180
Colorado Springs, CO 80907-5798

Mailing address

1625 Medical Center PT Ste 180
Colorado Springs, CO 80907-5798
Phone (719) 344-9497

Other identifiers 1

IdentifierTypeStateIssuer
17253OtherCODPT

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL cismrehab@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201001000861 CO Practitioner - Physical Therapist in Private Practice 9537588140 Reassigns benefits to 1 organization
I20231205003378 WV Practitioner - Physical Therapist in Private Practice 9537588140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Country Roads Physical Therapy and RehabilitationGroup PAC ID 5597835603, 28 clinicians

Practice addresses (Care Compare)

1031 Morgantown Ave
Fairmont, WV 26554-4355
Phone (304) 363-0050

Merit-based Incentive Payment System (MIPS)

Final score
98.03 of 100Reported as individual
Quality
96.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17253COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Country Roads Physical Therapy and Rehabilitation Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Phenix Therapies, LLC Physical Therapist CurrentSince Sep 3, 2020 Accepting new patients

Locations

1625 Medical Center Pt
Ste 180
Colorado Springs, CO 80907
Phone (719) 344-9497

120 Buckhannon Xrds
Ste 112
Buckhannon, WV 26201
Phone (304) 472-8510

1509 Fairmont Ave
Fairmont, WV 26554
Phone (304) 363-0050

1031 Morgantown Ave
Fairmont, WV 26554
Phone (304) 333-8840

25 Barbara St
#101
Grafton, WV 26354
Phone (304) 903-8082

200 Fort Pierpont Dr
Ste 107
Morgantown, WV 26508
Phone (304) 322-4232

456 Market Place Mall
Ste A
Weston, WV 26452
Phone (304) 269-0100

8 Elm Grove Crossing Mall
Ste C
Wheeling, WV 26003
Phone (304) 905-8140

2600 Middletown Cmns
Ste 260
White Hall, WV 26554
Phone (304) 816-3169

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1578178307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 180",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075798",
            "telephone_number": "719-344-9497",
            "fax_number": "719-358-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 180",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075798",
            "telephone_number": "719-344-9497",
            "fax_number": "719-358-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAROS",
        "first_name": "LINDSAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "17253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPT",
            "identifier": "17253",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "cismrehab@gmail.com",
            "affiliation": "N",
            "address_1": "1625 Medical Center Pt Ste 180",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809075798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.