Linda Thibodeaux

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2070212 Issued in TX

Practice address

2604 US Highway 69 N
Lufkin, TX 75904-1060

Phone

(936) 899-7235

Fax

(936) 899-7237

NPI assigned

Apr 24, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Active Therapy Intervention

  • Physical Therapist
  • Lufkin, TX
  • NPI 1548896194

  Multi-Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1649414368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SCENIC WAY",
            "city": "ETOILE",
            "state": "TX",
            "postal_code": "759447662",
            "telephone_number": "936-404-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 US HIGHWAY 69 N",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759041060",
            "telephone_number": "936-899-7235",
            "fax_number": "936-899-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2070212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Center for Sight, PA
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• The Children's Clinic Rusk PLLC
• The Salvation Army a Georgia Corporation (The Salvation Army Adult Day Center)
• Daisy Thomas, FNP
• Jacob Mannoor Thomas, M.D.,
• Hollin P Thompson, MS, RD, LD
• Misty Le'Ann Thompson
• Netha Jan Thompson, RN FNP-C

• Physical Therapy Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.