Individual provider Active NPI

Lynn Thodde, MS PT

  • Physical Therapist
  • Doral, FL
National Provider Identifier
1871768655
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23949 Issued in FL
Practice address
7800 NW 25TH St
Doral, FL 33122-1625
Phone
(305) 593-2174
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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 PT23949 FL Primary

Addresses

Primary practice location

7800 NW 25TH St
Doral, FL 33122-1625

Mailing address

7800 NW 25TH St
Doral, FL 33122-1625
Phone (305) 593-2174

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT23949FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportfit Rehab & Training Physical Therapist Past Accepting new patients
Downtown Sportfit Rehab and Training Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1871768655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 25TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221625",
            "telephone_number": "305-593-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 NW 25TH ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221625",
            "telephone_number": "305-593-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THODDE",
        "first_name": "LYNN",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.