Individual provider Active NPI

Lindsey Neri

  • Physical Therapist
  • Bella Vista, AR
National Provider Identifier
1750863916
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4532 Issued in AR
Practice address
1801 Forest Hills Blvd Ste 205
Suite 205
Bella Vista, AR 72715-3071
Phone
(479) 855-9348
NPI assigned
Sep 5, 2018
Last updated
Sep 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4532 AR Primary

Addresses

Primary practice location

1801 Forest Hills Blvd Ste 205
Suite 205
Bella Vista, AR 72715-3071

Mailing address

1801 Forest Hills Blvd Ste 205
Bella Vista, AR 72715-3071
Phone (479) 855-9348

Other identifiers 1

IdentifierTypeStateIssuer
PT4532OtherARAR PT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181115002664 MS Practitioner - Physical Therapist in Private Practice 2961756671 Reassigns benefits to 1 organization
I20220616002420 TN Practitioner - Physical Therapist in Private Practice 2961756671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4532ARMDPhysical Therapist
6584TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leader Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
US PT Texas Inc Physical Therapist CurrentSince Oct 25, 2018 Accepting new patients
Leader Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Leader Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Mountaincrest Rehab of Bella Vista, Inc. Physical Therapist PastSince Feb 1, 2005 Accepting new patients

Locations

7065 Airways Blvd
Ste 110
Southaven, MS 38671
Phone (662) 349-8997

6050 Airline Rd
Ste 106
Arlington, TN 38002
Phone (901) 867-8989

11680 Highway 51 S
Ste A
Atoka, TN 38004
Phone (901) 837-0994

6600 Stage Rd
Ste 129
Bartlett, TN 38134
Phone (901) 371-0732

2961 Canada Rd
Ste 107
Lakeland, TN 38002
Phone (901) 866-9239

440 N Front St
Ste 102
Memphis, TN 38105
Phone (901) 577-9484

5039 Park Ave
Ste 102
Memphis, TN 38117
Phone (901) 818-9746

8390 US Highway 51 N
Ste 101
Millington, TN 38053
Phone (901) 872-6422

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1750863916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FOREST HILLS BLVD STE 205",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727153071",
            "telephone_number": "479-855-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FOREST HILLS BLVD STE 205",
            "address_2": "SUITE 205",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727153071",
            "telephone_number": "479-855-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERI",
        "first_name": "LINDSEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR PT LICENSE",
            "identifier": "PT4532",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.