Active NPI
Lindsay C Bainey, MPT
- Physical Therapist
- Altoona, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013619L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037129910002 | Other | PA | GROUP MEDICAID |
| 1037233870001 | Medicaid | PA | |
| 796981 | Other | PA | GROUP MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT013619L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Alternative Physical Therapy & Wellness Studio LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Altoona, PA
- NPI 1093736225
PA, Physical Therapist
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.