Active NPI
Lindsay Wilson
- Speech-Language Pathologist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22005167A
- Practice address
- 4180 Sage Bluff Xing
Fort Wayne, IN 46804-2363 - Phone
- (260) 443-7300
- NPI assigned
- Jan 27, 2011
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22005167A | IN | Primary |
Addresses
Primary practice location
4180 Sage Bluff Xing
Fort Wayne, IN 46804-2363
Mailing address
1365 Gateway TRL
Fort Wayne, IN 46845-5502
Phone (260) 417-5052
Other practice location 1
12656 Bourden Ln
Fishers, IN 46037-6282
Phone (260) 417-5052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
329 Rainbow Dr
Kokomo, IN 46902-3869
Phone (765) 400-2939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22005167A | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Health Care Management LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Cortlyn Therapy, PC | Speech-Language Pathologist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Creative Health Care Management LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817
1675 W 7th St
Auburn, IN 46706
Phone (260) 247-6632
300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511
7900 Rhode Island St
#1504
Merrillville, IN 46410
Phone (219) 649-0625
10 S 9th St
Ste 4
Noblesville, IN 46060
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Kokomo, IN
- NPI 1023618956
Speech-Language Pathologist
-
- Physical Therapist
- Fishers, IN
- NPI 1902350457
Speech-Language Pathologist
-
- Physical Therapist
- Merrillville, IN
- NPI 1053833657
Speech-Language Pathologist
-
- Physical Therapist
- Cincinnati, OH
- NPI 1235725730
IN, Speech-Language Pathologist
-
- Physical Therapist
- Kansas City, KS
- NPI 1033866975
Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Mount Carmel, IL
- NPI 1962073734
Speech-Language Pathologist
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1871899500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 GATEWAY TRL",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468455502",
"telephone_number": "260-417-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4180 SAGE BLUFF XING",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468042363",
"telephone_number": "260-443-7300"
}
],
"practiceLocations": [
{
"address_1": "12656 Bourden Ln",
"address_purpose": "LOCATION",
"city": "Fishers",
"state": "IN",
"postal_code": "460376282",
"country_code": "US",
"telephone_number": "260-417-5052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22005167A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.