Lindsay R Fader, PT, DPT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT42657 Issued in CA

Practice address

171 Saxony Rd Ste 105
Encinitas, CA 92024-6776

Phone

(760) 503-4440

NPI assigned

Jan 15, 2020

Last updated

Jan 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Level 4 Physical Therapy & Performance, Inc.

  dba Level4 Physio-Wellness-Performance

  • Physical Therapy Clinic/Center
  • Encinitas, CA
  • NPI 1245730092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1952941189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SAXONY RD STE 105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246776",
            "telephone_number": "760-503-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SAXONY RD STE 105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246776",
            "telephone_number": "760-503-4440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4002 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564506",
            "country_code": "US",
            "telephone_number": "760-724-8411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FADER",
        "first_name": "LINDSAY",
        "middle_name": "R",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT42657",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT42657",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APTA",
            "identifier": "PT42657",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evolve Growth Initiatives LLC (Evolve Treatment Centers - Cole Ranch (Encinitas))
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• Eyecare Solutions Inc
• Stephanie Duerkopp Faddis
• Candice D. Fagan, LCSW
• Patricia Fahmy
• Dina Fainman, MD
• Ali Youssef Fakhreddine, M.D.
• Family Doctors Medical Group

• Physical Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.