WILLIAM SERGUEI LINEBACK DPT
NPI 1215791868
Physical Therapist - Orthopedic in Malta, NY

Q: What is William Lineback's NPI number?

The NPI number for William Lineback is 1215791868. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Q: What is William Lineback's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for William Lineback was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 13, 2024Accepts Medicare Assignment

7 HEMPHILL PL STE 130, MALTA, NY 12020(151) 828-9524(518) 289-5294 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About William Serguei Lineback Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM SERGUEI LINEBACK DPT (NPI 1215791868) is an individual orthopedic provider in Malta, New York, licensed in New York (051662) and active in the NPI registry since February 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1215791868

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameWILLIAM SERGUEI LINEBACKCredential: DPT

Location Address7 HEMPHILL PL STE 130Malta, NY 12020-4482

Mailing Address16 Swartson CtAlbany, NY 12209-1221 · (518) 649-0149

Phone(151) 828-9524

Fax(518) 289-5294

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 13, 2024

NPPES CertifiedFebruary 13, 2024

✔ NPI 1215791868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in NY · 051662

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

7 HEMPHILL PL STE 130, Malta, NY 12020

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Serguei Lineback Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254853674

PECOS Enrollment IDI20250314001808

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA ANNE O'CONNOR PT, DPT

Physical Therapist