Individual provider Active NPI

Linda Ann Lindholm, RPT

  • Physical Therapist
  • San Pedro, CA
National Provider Identifier
1952489874
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 5463 Issued in CA
Practice address
1418 Brett PL Unit 120
San Pedro, CA 90732-5070
Phone
(310) 514-0476
Fax
(310) 514-0476
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 5463 CA Primary

Addresses

Primary practice location

1418 Brett PL Unit 120
San Pedro, CA 90732-5070

Mailing address

1418 Brett PL Unit 120
San Pedro, CA 90732-5070
Phone (310) 514-0476

Other identifiers 1

IdentifierTypeStateIssuer
5463OtherCAPT LICENSE #

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

LicenseStateTypeSpecialty
PT 5463CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig E Morris D C a Prof Chiropractic Corp Torrance Chiropractic Past Accepting new patients
Lindholm Therapy Services Inc Past Accepting new patients

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952489874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 BRETT PL UNIT 120",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907325070",
            "telephone_number": "310-514-0476",
            "fax_number": "310-514-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 BRETT PL UNIT 120",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907325070",
            "telephone_number": "310-514-0476",
            "fax_number": "310-514-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDHOLM",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 5463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "5463",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.