Active NPI
Lindsey Wilson, DPT
- Physical Therapist
- Greeley, CO
National Provider Identifier
1922417336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011545
- Practice address
- 1931 65TH Ave
Greeley, CO 80634-7945 - Phone
- (970) 301-4596
- Fax
- (706) 378-9046
- NPI assigned
- Aug 11, 2014
- 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 | PT011545 | GA | Primary |
Addresses
Primary practice location
1931 65TH Ave
Greeley, CO 80634-7945
Mailing address
304 E 6TH Ave
Rome, GA 30161-6000
Phone (706) 378-9044
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011545 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Children'S Services, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Rome, GA
- NPI 1558412775
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1922417336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E 6TH AVE",
"city": "ROME",
"state": "GA",
"postal_code": "301616000",
"telephone_number": "706-378-9044",
"fax_number": "706-378-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 65TH AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806347945",
"telephone_number": "970-301-4596",
"fax_number": "706-378-9046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LINDSEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-11",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.