Individual provider Active NPI

Lindsay C Bainey, MPT

  • Physical Therapist
  • Altoona, PA
National Provider Identifier
1801049655
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013619L Issued in PA
Practice address
2510 7TH Ave
Altoona, PA 16602-2217
Phone
(814) 944-6535
Fax
(814) 944-6545
NPI assigned
Oct 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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 PT013619L PA Primary

Addresses

Primary practice location

2510 7TH Ave
Altoona, PA 16602-2217

Mailing address

2510 7TH Ave
Altoona, PA 16602-2217
Phone (814) 944-6535

Other practice location 1

1105 18th Street
Evolution Physical Therapy
Altoona, PA 16601
Phone (814) 944-6535

Other identifiers 3

IdentifierTypeStateIssuer
1037129910002OtherPAGROUP MEDICAID
1037233870001MedicaidPA
796981OtherPAGROUP MEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090114000472 PA Practitioner - Physical Therapist in Private Practice 6406919687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolution Alternative Physical Therapy and Wellness Studio LLCGroup PAC ID 6901149954, 2 clinicians

Practice addresses (Care Compare)

2510 7TH Ave
Altoona, PA 16602-2004
Phone (814) 944-6535

2510 7TH Ave
Altoona, PA 16602-2217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013619LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Alternative Physical Therapy & Wellness Studio LLC Physical Therapist CurrentSince Jun 27, 2019 Accepting new patients

Locations

1105 18th St
Altoona, PA 16601
Phone (814) 944-6535

2510 7th Ave
Altoona, PA 16602
Phone (814) 944-6535

Organizations & group practices 1

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": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1801049655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 7TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022217",
            "telephone_number": "814-944-6535",
            "fax_number": "814-944-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 7TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022217",
            "telephone_number": "814-944-6535",
            "fax_number": "814-944-6545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 18th Street",
            "address_2": "Evolution Physical Therapy",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "16601",
            "country_code": "US",
            "telephone_number": "814-944-6535",
            "fax_number": "814-944-6545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAINEY",
        "first_name": "LINDSAY",
        "middle_name": "C",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-24",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013619L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "1037129910002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037233870001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "796981",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.