Provider Demographics
NPI:1346471562
Name:STICKEL, LINSEY A (PT)
Entity Type:Individual
Prefix:
First Name:LINSEY
Middle Name:A
Last Name:STICKEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LINSEY
Other - Middle Name:A
Other - Last Name:ALLISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:24400 HIGHPOINT RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6054
Mailing Address - Country:US
Mailing Address - Phone:216-896-0824
Mailing Address - Fax:216-896-0825
Practice Address - Street 1:24000 HIGHPOINT ROAD
Practice Address - Street 2:SUITE 10
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44112
Practice Address - Country:US
Practice Address - Phone:216-896-0824
Practice Address - Fax:216-896-0825
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH225100000X
OHPT020019225100000X
PA0200109225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4271881Medicare Oscar/Certification