Lindsay Jonkman
Individual provider Active NPI Physical Therapist · Corol Springs, FL
NPI 1639489396 · NPPES record last updated Oct 15, 2010
Key facts
- NPI
- 1639489396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 033154 (NY)
- Practice address
- 5830 Coral Ridge Dr. S-120
Corol Springs, FL 33076 - Phone
- (866) 425-5768
- NPI assigned
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033154 | NY | Yes |
Addresses
Primary practice location
5830 Coral Ridge Dr. S-120
Corol Springs, FL 33076
Mailing address
5830 Coral Ridge Dr. S-120
Corol Springs, FL 33076
Phone (866) 425-5768
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.