1477967495 NPI number — LINDY PHYSICAL THERAPY LTD

Table of content: BOYD EDWARD HELM MD (NPI 1073514576)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477967495 NPI number — LINDY PHYSICAL THERAPY LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LINDY PHYSICAL THERAPY LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477967495
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/08/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 OAK HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VALLEYVIEW
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76272
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
940-372-1072
Provider Business Mailing Address Fax Number:
940-243-0173

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
519 S. CARROLL BLVD
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
DENTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
940-372-1072
Provider Business Practice Location Address Fax Number:
940-243-0173
Provider Enumeration Date:
06/18/2014

Additional Information

Authorized Official

Authorized Official Last Name:
LINDY
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
PHYSICAL THERAPIST / OWNER
Authorized Official Telephone Number:
940-372-1072

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QP2000X , with the licence number: 1042182 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1477967495 . This is a "MEDICARE NPI TYPE 2" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1457611899 . This is a "MEDICARE NPI TYPE 1" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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