Active NPI
Matthew Lindsay
- Orthotic Fitter
- Tallahassee, FL
National Provider Identifier
1609612043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- C71964
- Practice address
- 3334 Capital Medical Blvd Ste 100
Tallahassee, FL 32308-4470 - Phone
- (850) 877-8174
- NPI assigned
- Jul 4, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | C71964 | FL | Primary |
Addresses
Primary practice location
3334 Capital Medical Blvd Ste 100
Tallahassee, FL 32308-4470
Mailing address
2608 Clara Kee Blvd
Tallahassee, FL 32303-7144
Phone (954) 806-5914
Other practice location 1
2605 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (850) 877-8174
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
| License | State | Type | Specialty |
|---|---|---|---|
| C71964 | FL | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720051200000",
"number": "1609612043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 CLARA KEE BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323037144",
"telephone_number": "954-806-5914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3334 CAPITAL MEDICAL BLVD STE 100",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084470",
"telephone_number": "850-877-8174"
}
],
"practiceLocations": [
{
"address_1": "2605 Welaunee Blvd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084697",
"country_code": "US",
"telephone_number": "850-877-8174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDSAY",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-04",
"last_updated": "2024-07-04",
"certification_date": "2024-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "FL",
"license": "C71964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.