Provider Demographics
NPI:1922349505
Name:PURRINGTON-METZGER, LINDSEY R (OT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:R
Last Name:PURRINGTON-METZGER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5930 VANDERVOORT DR STE A
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-2391
Mailing Address - Country:US
Mailing Address - Phone:402-420-2099
Mailing Address - Fax:402-420-2823
Practice Address - Street 1:5930 VANDERVOORT DR STE A
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-2391
Practice Address - Country:US
Practice Address - Phone:402-420-2099
Practice Address - Fax:402-420-2823
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1687225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH47077636869Medicaid