Active NPI
Lindsay Opdyke, PT
- Physical Therapist
- Brookline, MA
National Provider Identifier
1821189861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16694
- Practice address
- 1180 Beacon St
Suite 6C
Brookline, MA 02446-3885 - Phone
- (617) 730-5337
- Fax
- (617) 730-5461
- NPI assigned
- Sep 27, 2006
- 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 Therapist | 225100000X | 16694 | MA | Primary |
Addresses
Primary practice location
1180 Beacon St
Suite 6C
Brookline, MA 02446-3885
Mailing address
60 Macarthur Rd
Natick, MA 01760-2938
Phone (617) 730-5337
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470265 | Other | MA | TUFTS |
| Y68407 | Other | MA | BLUE CROSS |
| 10655873 | Other | MA | AETNA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237939200000",
"number": "1821189861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MACARTHUR RD",
"city": "NATICK",
"state": "MA",
"postal_code": "017602938",
"telephone_number": "617-730-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 BEACON ST",
"address_2": "SUITE 6C",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463885",
"telephone_number": "617-730-5337",
"fax_number": "617-730-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPDYKE",
"first_name": "LINDSAY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2009-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "16694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "470265",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Y68407",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "10655873",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.