Active NPI
Lyndy Stewart, RPT
- Physical Therapist
- South Bend, IN
National Provider Identifier
1932306206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05008817A
- Practice address
- 1950 Ridgedale Rd
South Bend, IN 46614-2243 - Phone
- (574) 291-6722
- NPI assigned
- Jun 29, 2007
- 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 | 05008817A | IN | Primary |
Addresses
Primary practice location
1950 Ridgedale Rd
South Bend, IN 46614-2243
Mailing address
806 Frostfield Dr
Apt 1B
Mishawaka, IN 46544-9013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | IN | SOCIAL SECURITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05008817A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michiana Therapy Network | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1932306206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "806 FROSTFIELD DR",
"address_2": "APT 1B",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465449013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 RIDGEDALE RD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466142243",
"telephone_number": "574-291-6722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LYNDY",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008817A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL SECURITY",
"identifier": "$$$$$$$$$",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.