Individual provider Active NPI

Indra Nandkeshwar Lingenfelter, LPTA

  • Physical Therapy Assistant
  • Virginia Beach, VA
National Provider Identifier
1750407151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306000486 Issued in VA
Practice address
5345 Marian LN
Virginia Beach, VA 23462-1841
Phone
(757) 473-0693
Fax
(757) 473-0694
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306000486 VA Primary

Addresses

Primary practice location

5345 Marian LN
Virginia Beach, VA 23462-1841

Mailing address

3231 Scarborough Way
Virginia Beach, VA 23453-3046
Phone (757) 689-3831

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

State licenses

LicenseStateTypeSpecialty
2306000486VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750407151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 SCARBOROUGH WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234533046",
            "telephone_number": "757-689-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 MARIAN LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621841",
            "telephone_number": "757-473-0693",
            "fax_number": "757-473-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGENFELTER",
        "first_name": "INDRA",
        "middle_name": "NANDKESHWAR",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306000486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.