Active NPI
Lindsay Metivier, PT, DPT
- Physical Therapist
- Riverview, FL
National Provider Identifier
1942980073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37293
- Practice address
- 11523 Sage Canyon Dr
Riverview, FL 33578-9326 - Phone
- (813) 965-1805
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | PT37293 | FL | Primary |
Addresses
Primary practice location
11523 Sage Canyon Dr
Riverview, FL 33578-9326
Mailing address
11705 Boyette Rd # 413
Riverview, FL 33569-5533
Phone (813) 965-1805
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 |
|---|---|---|---|
| PT37293 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1942980073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11705 BOYETTE RD # 413",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335695533",
"telephone_number": "813-965-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11523 SAGE CANYON DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335789326",
"telephone_number": "813-965-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METIVIER",
"first_name": "LINDSAY",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.