Individual provider Active NPI

Lisa Lindt, M.S. ED.

  • Developmental Therapist
  • Downers Grove, IL
National Provider Identifier
1699070243
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
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

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.