Landon Warner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1378297 Issued in TX

Practice address

4879 Williams Dr Ste 103
Georgetown, TX 78633-2436

Phone

(512) 843-0118

NPI assigned

Jun 26, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NE2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln Physical Therapy and Sports Rehab LLCGroup PAC ID 9133438641, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lincoln Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Lincoln, NE
  • NPI 1679783963
  Medicare reassignment Care Compare group NPD
• Lincoln Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Georgetown, TX
  • NPI 1881347623
  Medicare reassignment NPD
• Lincoln Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Lincoln, NE
  • NPI 1053512681
  NPD
• Lincoln Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Lincoln, NE
  • NPI 1891846572
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1730865569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 VAN DORN ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062858",
            "telephone_number": "402-483-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4879 WILLIAMS DR STE 103",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332436",
            "telephone_number": "512-843-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "LANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1378297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Hughes Walton, LCDC
• Tammy Lynne Wanamaker, M.A.
• Michelle M Wang, D.M.D.
• Shieeda Chantal Ward, M.S., CCC-SLP
• Alexxis Nicole Warford
• Austin Warnke
• Ronald Leo Warren, DDS
• Jennifer Ann Warrington, PA-C
• Mishawna Dee Washington, LPC
• Carmela Anne Waskoviak Stearns, NCC, LPC-S

• Physical Therapist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.