Active NPI
Lynette Ault
- Physical Medicine & Rehabilitation Physician
- Schererville, IN
National Provider Identifier
1801630876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 05008516A
- Practice address
- 221 US Highway 41 Ste H
Schererville, IN 46375-1278 - Phone
- (219) 322-1600
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 Medicine & Rehabilitation Physician | 208100000X | 05008516A | IN | Primary |
Addresses
Primary practice location
221 US Highway 41 Ste H
Schererville, IN 46375-1278
Mailing address
221 US Highway 41 Ste H
Schererville, IN 46375-1278
Phone (219) 322-1600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05008516A | IN | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1801630876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 US HIGHWAY 41 STE H",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751278",
"telephone_number": "219-322-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 US HIGHWAY 41 STE H",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751278",
"telephone_number": "219-322-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULT",
"first_name": "LYNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "05008516A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.