Lindsay Aldridge

Individual provider Active NPI Physical Therapy Assistant · Kingsland, GA

NPI 1982369484 · NPPES record last updated Nov 1, 2021

Key facts

NPI
1982369484
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
130 N Gross Rd Ste 125
Kingsland, GA 31548-6263
Phone
(912) 342-8875
Fax
(912) 342-8016
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapies of SE Ga, LLC Past
since Nov 9, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

130 N Gross Rd Ste 125
Kingsland, GA 31548-6263

Mailing address

4212 Coral Park Dr
Brunswick, GA 31520-3016
Phone (912) 342-8875

Other names

  • Lindsay Dicicco Former name

Other providers in Kingsland, GA

All providers in Kingsland, GA · Physical Therapy Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.