Active NPI
Lindsay W Shivar, DPT
- Physical Therapist
- Tallahassee, FL
National Provider Identifier
1871849158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30231
- Practice address
- 1891 Capital Cir NE
Suite 2
Tallahassee, FL 32308-8407 - Phone
- (850) 877-8855
- Fax
- (850) 877-7627
- NPI assigned
- Jul 24, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010745 | GA | |
| Physical Therapist | 225100000X | PT30231 | FL | Primary |
Addresses
Primary practice location
1891 Capital Cir NE
Suite 2
Tallahassee, FL 32308-8407
Mailing address
PO Box 13269
Tallahassee, FL 32317-3269
Phone (850) 877-8855
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106822 | Other | FL | MEDICARE PTAN |
| 015004200 | Medicaid | FL | |
| PT30231 | Other | FL | PT LICENSE |
Other names 1
- Lindsay W Sarbeck
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30231 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1871849158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13269",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323173269",
"telephone_number": "850-877-8855",
"fax_number": "850-877-7627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1891 CAPITAL CIR NE",
"address_2": "SUITE 2",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323088407",
"telephone_number": "850-877-8855",
"fax_number": "850-877-7627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIVAR",
"first_name": "LINDSAY",
"middle_name": "W",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-24",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010745",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "106822",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015004200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT30231",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "SARBECK",
"middle_name": "W",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.