Active NPI
Jason R Lindemann, PT
- Physical Therapist
- Dayton, OH
National Provider Identifier
1609975440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-008779
- Practice address
- 1145 Lyons Rd # D
Dayton, OH 45458-1875 - Phone
- (937) 434-0509
- Fax
- (937) 434-1825
- NPI assigned
- Sep 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-008779 | Primary | |
| Physical Therapist | 225100000X | PT8779 | OH |
Addresses
Primary practice location
1145 Lyons Rd # D
Dayton, OH 45458-1875
Mailing address
1145 D. Lyons Rd.
Centerville, OH 45459
Phone (937) 434-0509
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000008368 | Other | OH | ANTHEM |
| 365572300 | Other | HI | TRICARE |
| 310979866026 | Other | OH | CARESOURCE |
| 0542283 | Medicaid | OH | |
| 31097986600 | Other | OH | BWC |
| 365572300 | Other | OH | US DEPT LABOR |
| 125384133 | Other | OH | TRICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT8779 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Better Appliances LLC | Past | Accepting new patients | |
| Alliance Physicians Inc | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- Customized Equipment (DME)
- Huber Heights, OH
- NPI 1578908661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1609975440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 D. LYONS RD.",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-434-0509",
"fax_number": "937-434-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 LYONS RD # D",
"city": "DAYTON",
"state": "OH",
"postal_code": "454581875",
"telephone_number": "937-434-0509",
"fax_number": "937-434-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDEMANN",
"first_name": "JASON",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "PT-008779",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT8779",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000008368",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "365572300",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "310979866026",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0542283",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "31097986600",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT LABOR",
"identifier": "365572300",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "125384133",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.