Provider Demographics
NPI:1477967495
Name:LINDY PHYSICAL THERAPY LTD
Entity type:Organization
Organization Name:LINDY PHYSICAL THERAPY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:LINDY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:940-372-1072
Mailing Address - Street 1:1100 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:VALLEYVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:76272
Mailing Address - Country:US
Mailing Address - Phone:940-372-1072
Mailing Address - Fax:940-243-0173
Practice Address - Street 1:519 S. CARROLL BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201
Practice Address - Country:US
Practice Address - Phone:940-372-1072
Practice Address - Fax:940-243-0173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1042182261QP2000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1477967495OtherMEDICARE NPI TYPE 2
TX1457611899OtherMEDICARE NPI TYPE 1