Healthcare Provider Details

I. General information

NPI: 1134952112
Provider Name (Legal Business Name): LINDSAY CAROLYN SIDES PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10750 COLUMBIA PIKE STE 401B
SILVER SPRING MD
20901-4457
US

IV. Provider business mailing address

4918 SAINT ELMO AVE APT 410
BETHESDA MD
20814-6248
US

V. Phone/Fax

Practice location:
  • Phone: 443-512-8337
  • Fax: 443-327-5282
Mailing address:
  • Phone: 214-793-9783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1395493
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30842
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP033582T
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: