Katherine Mary Lyons, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011291 Issued in NY

Practice address

6711 Towpath Rd Ste 100
East Syracuse, NY 13057-9509

Phone

(315) 637-4747

Fax

(315) 637-6711

NPI assigned

Feb 21, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mary Lou Corcoran PT, P.C.

  • Physical Therapy Clinic/Center
  • East Syracuse, NY
  • NPI 1699780338
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1003514977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 TOWPATH RD STE 100",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579509",
            "telephone_number": "315-637-4747",
            "fax_number": "315-637-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 TOWPATH RD STE 100",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579509",
            "telephone_number": "315-637-4747",
            "fax_number": "315-637-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lucas, LPN
• Theresa Mary Lucason, RPA-C
• Amy Lynn Luchsinger, FNP
• Michael Timothy Lynch, LMFT
• John Peter Lyons, PHARMD
• Halle P Macknight
• Julie Ann Macmaster, MS. ED.
• Ann Macwan
• Madison Irving Pediatrics, PC
• Lindsay Mitchell Madom, M.D.

• All providers in East Syracuse, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.