Individual provider Active NPI

Kayla Marie Lydon, DPT

  • Physical Therapist
  • Evansville, IN
National Provider Identifier
1023528767
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05014340A Issued in IN
Practice address
5625 Pearl Dr Ste 100
Evansville, IN 47712-8106
Phone
(812) 759-7493
Fax
(812) 401-2346
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 12029 TN
Physical Therapist 225100000X 05014340A IN Primary

Addresses

Primary practice location

5625 Pearl Dr Ste 100
Evansville, IN 47712-8106

Mailing address

PO Box 5629
Evansville, IN 47716-5629
Phone (502) 882-9379

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108000257 IN Practitioner - Physical Therapist in Private Practice 9830455849 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prorehab IncGroup PAC ID 1254317217, 81 clinicians

Practice addresses (Care Compare)

5625 Pearl Dr
Suite 100
Evansville, IN 47712-8106
Phone (812) 759-7493

Merit-based Incentive Payment System (MIPS)

Final score
66.6 of 100Reported as group
Quality
60.71
Promoting interoperability
33
Improvement activities
40
Cost
83.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05014340AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Inc Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Nov 2, 2017 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Nov 2, 2017 Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Current Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Aug 30, 2021 Accepting new patients
Prorehab Inc Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Orthopaedics-Indianapolis, Inc Physical Therapist Current Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

5625 Pearl Dr
Ste 100
Evansville, IN 47712
Phone (812) 759-7493

415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

1642 Olive Branch Parke Ln
Ste 1100
Greenwood, IN 46143
Phone (317) 882-2550

8450 Northwest Blvd
Indianapolis, IN 46278

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1023528767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "502-882-9379",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 PEARL DR STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477128106",
            "telephone_number": "812-759-7493",
            "fax_number": "812-401-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDON",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12029",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014340A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.