LYNN INGALLS (NPI# 1396026100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396026100 |
| Entity Type | Individual |
| Full Name | LYNN INGALLS |
| Credential | MSDPT |
| Practice Address |
6343 E Main St Suite 8 Mesa AZ 85205-8954 |
| Practice Telephone | 4803258838 |
| Practice Fax Number | 4803259191 |
| Mailing Telephone | 4803258838 |
| Mailing Fax Number | 4803259191 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
6228 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 260534 | 05 |
| Street Address |
6343 E MAIN ST SUITE 8 |
| City | MESA |
| State | AZ |
| Zip Code | 85205-8954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183894 | Danny Lee Nielson | Chiropractor | 6343 E Main St, #17, Mesa, AZ 85205-8954 | 2005-12-05 |
| 1205166055 | Joseph M Poloni | Physical Therapist | 6343 E Main St, Ste #8, Mesa, AZ 85205-8954 | 2009-12-29 |
| 1255591806 | Healthcare Dme | Durable Medical Equipment & Medical Supplies | 6343 E Main St, Ste B5 & B6, Mesa, AZ 85205-8954 | 2008-06-16 |
| 1346437308 | Mesa Health Improvement Center | Clinic/Center | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2007-10-03 |
| 1528138393 | Genesis Physical Therapy, LLC | Clinic/Center | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2006-11-09 |
| 1366521049 | O&p Research Lab, Inc. | Prosthetic/Orthotic Supplier | 6343 E Main St, Suite B1, Mesa, AZ 85205-8954 | 2006-11-03 |
| 1053368589 | Mesa Health Improvement Center, LLC | Clinic/Center | 6343 E Main St, Suite 8, Mesa, AZ 85205-8954 | 2006-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130199 | Rose Campbell | Technician/Technologist | 649 North Orlando, Mesa, AZ 85205 | 2017-08-21 |
| 1528459781 | Elizabeth Sadler | Nurse Practitioner | 4434 E Brown Rd Ste 102, Mesa, AZ 85205 | 2015-02-10 |
| 1326444324 | Katherine G Perez | Counselor | 152 N Power Rd Ste 2, Mesa, AZ 85205 | 2014-11-18 |
| 1831500800 | C.b.o Hearing | Hearing Aid Equipment | 4406 E. Main St, Suite 103, Mesa, AZ 85205 | 2014-05-13 |
| 1699195107 | Amanda Mcdaniel | Occupational Therapist | 5911 E. Fountain St., Mesa, AZ 85205 | 2014-04-23 |
| 1952640278 | Medstar Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3932 E Fairfield Cir, Mesa, AZ 85205 | 2013-02-06 |
| 1245575398 | Fabulous Smiles of Mesa | Dentist | 4434 E. Brown Rd, Ste 104, Mesa, AZ 85205 | 2012-11-30 |
| 1992087639 | Matthew Robert Millward | Pharmacist | 1935 N. Power Rd, Mesa, AZ 85205 | 2011-09-19 |
| 1740596733 | Arizona Family & Geriatric Medicine Pllc | Clinic/Center | 5602 E. Main St., Mesa, AZ 85205 | 2010-08-27 |
| 1295049609 | Thomas Chambers | Podiatrist | 5520 E Main St Ste 2, Mesa, AZ 85205 | 2010-07-28 |
| Find all providers in zip 85205 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558880856 | Adrienne Yamamoto | Physical Therapist | 2500 S Power Rd Ste 126, Mesa, AZ 85209-6688 | 2017-09-18 |
| 1083000129 | Nadine Gibson | Physical Therapist | 6824 E Brown Rd, Suite 102, Mesa, AZ 85207-3705 | 2015-04-15 |
| 1942559547 | Garret William Bruno | Physical Therapist | 1450 S Dobson Rd Ste A302, Mesa, AZ 85202-4746 | 2012-08-29 |
| 1407104375 | Andrew C Jarzabek | Physical Therapist | 1959 S Val Vista Dr Ste 106, Mesa, AZ 85204-7357 | 2012-08-26 |
| 1700166154 | Elis Raquel Conejo | Physical Therapist | 6553 E. Baywood, Suite 205, Mesa, AZ 85206 | 2011-08-17 |
| 1871774588 | Lianne Ka'uilani Rogers | Physical Therapist | 2217 W Keating Ave, Mesa, AZ 85202-7321 | 2007-11-21 |
| 1366452856 | R Samuel Anderson | Physical Therapist | 1500 S Dobson Rd Ste 314, Mesa, AZ 85202-4752 | 2006-08-08 |
| 1407848088 | Fred Edward Treece | Physical Therapist | 1345 E Mckellips Rd, 101, Mesa, AZ 85203-2721 | 2005-08-18 |
| 1578567129 | Marc Wayne Moore | Physical Therapist | 2500 S Power Rd, Ste 123, Mesa, AZ 85209-6686 | 2005-06-10 |
| 1205320207 | Brian Keith Infiesto | Physical Therapist | 1440 S Country Club Dr, Mesa, AZ 85210-9701 | 2018-06-22 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on LYNN INGALLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.