Lindsay Basile
Individual provider Active NPI Physical Therapist · Boardman, OH
NPI 1902387673 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1902387673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT017635 (OH)
- Practice address
- 8129 Hunting Valley Dr
Boardman, OH 44512-8120 - Phone
- (330) 360-7469
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63406 | OR | MD | School Counselor |
| PT017635 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 63406 | OR | |
| Physical Therapist | 225100000X | PT017635 | OH | Yes |
Addresses
Primary practice location
8129 Hunting Valley Dr
Boardman, OH 44512-8120
Mailing address
8129 Hunting Valley Dr
Boardman, OH 44512-8120
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.