Active NPI
Lynn M Busdeker, PT
- Physical Therapist
- Ottawa, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10227
- Practice address
- 1331 E 4TH St
Ottawa, OH 45875-1505 - Phone
- (419) 523-9337
- NPI assigned
- Sep 15, 2006
- Last updated
- Dec 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10227 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P.T. Services Rehabilitation, Inc. | Current | 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.
-
- Physical Therapy Clinic/Center
- Wellington, OH
- NPI 1972505576
-
- Occupational Therapy Assistant
- Tiffin, OH
- NPI 1003289174
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.