Individual provider Active NPI

Lindsy Grigsby

  • Physical Therapist
  • Tyler, TX
National Provider Identifier
1689430084
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1389487 Issued in TX
Practice address
5407 New Copeland Rd Ste 100
Tyler, TX 75703-3997
Phone
(903) 630-7204
Fax
(903) 630-7205
NPI assigned
Feb 23, 2024
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1389487 TX Primary
Physical Therapist 225100000X PT44771 FL

Addresses

Primary practice location

5407 New Copeland Rd Ste 100
Tyler, TX 75703-3997

Mailing address

5407 New Copeland Rd Ste 100
Tyler, TX 75703-3997
Phone (678) 837-7176

Other names 1

  • Lindsy Grigsby Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240315002910 TX Practitioner - Physical Therapist in Private Practice 2961848619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bunker Physical Therapy LLCGroup PAC ID 8729304829, 5 clinicians

Practice addresses (Care Compare)

5407 New Copeland Rd
Suite 100
Tyler, TX 75703-3997
Phone (903) 630-7204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1389487TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Feb 9, 2024 Accepting new patients
Bunker Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Feb 9, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

3222 S Main St
Ste 140
Lindale, TX 75771
Phone (903) 883-6450

5407 New Copeland Rd
Ste 100
Tyler, TX 75703
Phone (903) 595-6126

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1689430084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033997",
            "telephone_number": "678-837-7176",
            "fax_number": "404-777-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 NEW COPELAND RD STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033997",
            "telephone_number": "903-630-7204",
            "fax_number": "903-630-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "LINDSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1389487",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSY",
            "last_name": "GRIGSBY",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.