Active NPI
Lynda Goldsmith, P.T.
- Physical Therapist
- Gurnee, IL
National Provider Identifier
1700934866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1800 Nations Dr Ste 101
Gurnee, IL 60031-9169 - Phone
- (847) 263-0480
- Fax
- (847) 263-0590
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
1800 Nations Dr Ste 101
Gurnee, IL 60031-9169
Mailing address
1800 Nations Dr Ste 101
Gurnee, IL 60031-9169
Phone (847) 263-0480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14751 Bel Red Rd
Suite 100
Bellevue, WA 98007
14951 Bel Red Rd
Suite 100
Bellevue, WA 98007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070007643 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Lake Zurich Physical Medicine, SC | Past | Accepting new patients | |
| North Suburban Medical S.C. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapist
- Bellevue, WA
- NPI 1295989036
-
- Chiropractor
- Lake Zurich, IL
- NPI 1376616789
-
- Physical Medicine & Rehabilitation Physician
- Gurnee, IL
- NPI 1992853105
-
- Physical Therapist
- Bellevue, WA
- NPI 1457744922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700934866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 NATIONS DR STE 101",
"city": "GURNEE",
"state": "IL",
"postal_code": "600319169",
"telephone_number": "847-263-0480",
"fax_number": "847-263-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NATIONS DR STE 101",
"city": "GURNEE",
"state": "IL",
"postal_code": "600319169",
"telephone_number": "847-263-0480",
"fax_number": "847-263-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "LYNDA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.