Individual provider Active NPI

Lindsay Renee Springer, DPT, PT, MS, CPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1669085148
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63679 Issued in OR
Practice address
402 NW 12TH Ave
Portland, OR 97209-2907
Phone
(503) 701-4390
Fax
(503) 974-2612
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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 63679 OR Primary

Addresses

Primary practice location

402 NW 12TH Ave
Portland, OR 97209-2907

Mailing address

1400 NW Irving St Apt 709
Portland, OR 97209-2260
Phone (503) 701-4390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819001744 OR Practitioner - Physical Therapist in Private Practice 4880099464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgetown Physical Therapy and Training Studio PCGroup PAC ID 2264514652, 13 clinicians

Practice addresses (Care Compare)

1500 SW 1St Ave
Suite 150
Portland, OR 97201-5900
Phone (503) 222-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
63679ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgetown Physical Therapy and Training Studio, PC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Bodywise Physical Therapy Inc Physical Therapist PastSince Aug 30, 2020 Accepting new patients
Hand N Hand Home Rehab, LLC PastSince Aug 30, 2020 Accepting new patients

Locations

1800 NW Upshur St
Ste 150
Portland, OR 97209
Phone (503) 719-5318

1500 SW 1st Ave
Ste 150
Portland, OR 97201
Phone (503) 222-1955

Organizations & group practices 3

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1669085148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW IRVING ST APT 709",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092260",
            "telephone_number": "503-701-4390",
            "fax_number": "503-974-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 NW 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092907",
            "telephone_number": "503-701-4390",
            "fax_number": "503-974-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "LINDSAY",
        "middle_name": "RENEE",
        "credential": "DPT, PT, MS, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.