Individual provider Active NPI

Lindsey O'Neil

  • Physical Therapist
  • West Roxbury, MA
National Provider Identifier
1629546494
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24004 Issued in MA
Practice address
1914 Centre St
West Roxbury, MA 02132-2535
Phone
(617) 323-8377
Fax
(617) 323-8077
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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 24004 MA Primary

Addresses

Primary practice location

1914 Centre St
West Roxbury, MA 02132-2535

Mailing address

1 Credit Union Way FL 3
Randolph, MA 02368-4633
Phone (781) 961-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181114000793 MA Practitioner - Physical Therapist in Private Practice 4082968862 Reassigns benefits to 1 organization
I20191203001964 NJ Practitioner - Physical Therapist in Private Practice 4082968862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigantine Physical Therapy and Fitness LLCGroup PAC ID 3274810155, 4 clinicians

Practice addresses (Care Compare)

3103 W Brigantine Ave
Brigantine, NJ 08203-1655
Phone (609) 264-5403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24004MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brigantine Physical Therapy and Fitness LLC Physical Therapist CurrentSince Apr 4, 2022 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Oct 28, 2019 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Oct 28, 2019 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Nov 9, 2018 Accepting new patients

Locations

703 Granite St
Ste 3
Braintree, MA 02184

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

1914 Centre St
West Roxbury, MA 02132
Phone (617) 323-4377

3103 W Brigantine Ave
Brigantine, NJ 08203
Phone (609) 264-5403

2500 English Creek Ave
Ste 1300
Egg Hbr Twp, NJ 08234
Phone (609) 677-6060

999 Route 73 N
Ste 401
Marlton, NJ 08053

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Organizations & group practices 4

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1629546494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CREDIT UNION WAY FL 3",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684633",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021322535",
            "telephone_number": "617-323-8377",
            "fax_number": "617-323-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.