Lynn Elizabeth Bagnull, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT003296L Issued in PA

Practice address

280 Middle Holland Rd
Holland, PA 18966-4822

Phone

(267) 719-7124

Fax

(215) 322-5246

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1982801965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 WINDRIDGE DR",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189015430",
            "telephone_number": "215-340-0171",
            "fax_number": "215-340-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MIDDLE HOLLAND RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189664822",
            "telephone_number": "267-719-7124",
            "fax_number": "215-322-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNULL",
        "first_name": "LYNN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT003296L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Physical Therapist in Holland, PA
• Providers in Holland, PA by specialty
• Geriatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.