Lyon Therapy Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LYON THERAPY SERVICES LLC

Doing business as

Lyon Physical Therapy LLC

Practice address

1110 10TH Ave Ste 4
Menominee, MI 49858-3058

Phone

(906) 309-0158

Fax

(844) 360-8998

NPI assigned

May 15, 2024

Last updated

May 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Rose Lyon, PT, DPTNPI 1699393983

Title

Owner, PT

Phone

(906) 309-0158

Specialties & licenses 1

Addresses

Other names 1

• Lyon Physical Therapy LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea R Lyon, PT, DPT

  • Physical Therapist
  • Marinette, WI
  • NPI 1699393983
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1003665605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 DUNLAP AVE STE 9",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431709",
            "telephone_number": "906-309-0158",
            "fax_number": "844-360-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 10TH AVE STE 4",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498583058",
            "telephone_number": "906-309-0158",
            "fax_number": "844-360-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYON THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "906-309-0158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyon Physical Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Menominee, MI
• Providers in Menominee, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.