Organization Active NPI

Lyons Physical Therapy LLC

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1023496924
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
NV20151244262 Issued in NV
Legal business name
LYONS PHYSICAL THERAPY LLC
Practice address
600 S Tonopah Dr Ste 230
Las Vegas, NV 89106-4042
Phone
(702) 664-3398
Fax
(702) 832-5730
NPI assigned
May 11, 2015
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Mr. John LyonsNPI 1659318749
Title
Owner
Phone
(702) 476-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NV20151244262 NV Primary

Addresses

Primary practice location

600 S Tonopah Dr Ste 230
Las Vegas, NV 89106-4042

Mailing address

600 S Tonopah Dr Ste 230
Las Vegas, NV 89106-4042
Phone (702) 476-0222

Other identifiers 1

IdentifierTypeStateIssuer
100504120MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160323000878 NV Part B Supplier - Clinic/Group Practice 2769789429 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

600 S Tonopah Dr
Ste 230
Las Vegas, NV 89106
Phone (702) 380-0671

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1023496924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S TONOPAH DR STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064042",
            "telephone_number": "702-476-0222",
            "fax_number": "702-832-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S TONOPAH DR STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064042",
            "telephone_number": "702-664-3398",
            "fax_number": "702-832-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-476-0222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "NV20151244262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504120",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.