Individual provider Active NPI

Linda Byrd, PT

  • Physical Therapist
  • Elkhart, IN
National Provider Identifier
1770697161
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05004366A Issued in IN
Practice address
51273 Maplewood Dr
Elkhart, IN 46514-6208
Phone
(574) 226-0075
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 05004366A IN Primary

Addresses

Primary practice location

51273 Maplewood Dr
Elkhart, IN 46514-6208

Mailing address

51273 Maplewood Dr
Elkhart, IN 46514-6208

Other identifiers 1

IdentifierTypeStateIssuer
300034537MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000479 IN Practitioner - Physical Therapist in Private Practice 9830112887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Health LLCGroup PAC ID 1254690530, 32 clinicians

Practice addresses (Care Compare)

3221 Beacon Pkwy
Suite 100
Granger, IN 46530-7196
Phone (574) 647-2930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05004366AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health, LLC Physical Therapist CurrentSince Jan 27, 2020 Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients
Michiana Physical Medicine PC Physical Therapist Past Accepting new patients
Beacon Health, LLC Past Accepting new patients

Locations

3221 Beacon Pkwy
Ste 100
Granger, IN 46530
Phone (574) 647-2930

900 I St
#100
Laporte, IN 46350
Phone (219) 324-1730

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

1815 E Ireland Rd
#100
South Bend, IN 46614
Phone (574) 647-5790

Interoperability endpoints

  • Direct secure messaging: linda.byrd.2@13070.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1770697161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51273 MAPLEWOOD DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51273 MAPLEWOOD DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465146208",
            "telephone_number": "574-226-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004366A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300034537",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.