Individual provider Active NPI

Lynn M Busdeker, PT

  • Physical Therapist
  • Ottawa, OH
National Provider Identifier
1992801369
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10227 Issued in OH
Practice address
1331 E 4TH St
Ottawa, OH 45875-1505
Phone
(419) 523-9337
NPI assigned
Sep 15, 2006
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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 10227 OH Primary

Addresses

Primary practice location

1331 E 4TH St
Ottawa, OH 45875-1505

Mailing address

480 Coe Street
Tiffin, OH 44883
Phone (419) 447-7203

Other practice location 1

2550 S State Route 100
Tiffin, OH 44883-9356
Phone (419) 447-7203

Other practice location 2

1610 N Countyline St
Fostoria, OH 44830-1938
Phone (419) 436-9764

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

LicenseStateTypeSpecialty
10227OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
P.T. Services Rehabilitation, Inc. CurrentSince Aug 15, 2023 Accepting new patients
P T Services Rehabilitation Inc Past Accepting new patients

Locations

6051 Gender Rd
Canal Winchester, OH 43110
Phone (614) 834-4404

205 S Vance St
Carey, OH 43316
Phone (419) 396-0031

1610 N Countyline St
Fostoria, OH 44830
Phone (419) 436-9764

400 W State St
Fremont, OH 43420
Phone (419) 332-6709

1224 West St
Rm 10
Genoa, OH 43430

150 Schwieterman St
Minster, OH 45865
Phone (419) 628-6920

1331 E 4th St
Ottawa, OH 45875
Phone (419) 523-9222

452 Stachler Dr
Saint Henry, OH 45883
Phone (419) 678-4444

2550 S State Route 100
Tiffin, OH 44883
Phone (419) 855-8301

805 Patriot Dr
Ste H
Wellington, OH 44090
Phone (440) 647-0107

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1992801369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 COE STREET",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "44883",
            "telephone_number": "419-447-7203",
            "fax_number": "419-447-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E 4TH ST",
            "city": "OTTAWA",
            "state": "OH",
            "postal_code": "458751505",
            "telephone_number": "419-523-9337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 S State Route 100",
            "address_purpose": "LOCATION",
            "city": "Tiffin",
            "state": "OH",
            "postal_code": "448839356",
            "country_code": "US",
            "telephone_number": "419-447-7203",
            "fax_number": "419-447-5577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 N Countyline St",
            "address_purpose": "LOCATION",
            "city": "Fostoria",
            "state": "OH",
            "postal_code": "448301938",
            "country_code": "US",
            "telephone_number": "419-436-9764",
            "fax_number": "419-436-9782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSDEKER",
        "first_name": "LYNN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "10227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.