Active NPI
Lisa Lindt, M.S. ED.
- Developmental Therapist
- Downers Grove, IL
National Provider Identifier
1699070243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 935 Burlington Ave Unit 308
Downers Grove, IL 60515-4794 - Phone
- (620) 921-5055
- NPI assigned
- Jan 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
935 Burlington Ave Unit 308
Downers Grove, IL 60515-4794
Mailing address
935 Burlington Ave Unit 308
Downers Grove, IL 60515-4794
Phone (620) 921-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1699070243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 BURLINGTON AVE UNIT 308",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605154794",
"telephone_number": "620-921-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 BURLINGTON AVE UNIT 308",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605154794",
"telephone_number": "620-921-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDT",
"first_name": "LISA",
"credential": "M.S. ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-12",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
- Lillian Grace Lin, PA
- Vincent I-Sun Lin, D.D.S.
- April G Linares, BCBA
- Linda D. Small, PH.D and Associates
- Colleen M Lindberg, LCSW, TYPE 73 CERT
- Stefanie L Linke, FNP-C
- Lionrock Behavioral Health, Inc
- Daniel B Lippmann, LCSW
- Livia De Souza Lisboa, MS, PA-C
- Lisle and Downers Chiropractic and Acupuncture LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.