Active NPI
Lyndsay Young
- Physical Therapist
- Cedarburg, WI
National Provider Identifier
1891318978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1497024
- Practice address
- N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852 - Phone
- (262) 751-1738
- NPI assigned
- May 22, 2020
- 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 | 1497024 | WI | Primary |
Addresses
Primary practice location
N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852
Mailing address
N57W38492 Beggs Isle Dr
Oconomowoc, WI 53066-2258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Springdale St
Mount Horeb, WI 53572-2016
Phone (608) 437-0222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1497024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
7901 S 6th St
Oak Creek, WI 53154
Phone (414) 346-8000
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Verona, WI
- NPI 1184286932
-
- Internal Medicine Physician
- Madison, WI
- NPI 1861412785
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1891318978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N57W38492 BEGGS ISLE DR",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530662258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N27W5707 LINCOLN BLVD",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530122852",
"telephone_number": "262-751-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LYNDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "1497024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedarburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.