Active NPI
Kayla Marie Lydon, DPT
- Physical Therapist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05014340A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 60.71
- Promoting interoperability
- 33
- Improvement activities
- 40
- Cost
- 83.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05014340A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prorehab Inc | Physical Therapist | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Prorehab Inc | Physical Therapist | Current | Accepting new patients |
| Tri-State Orthopaedic Surgeons, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Evansville, IN
- NPI 1770565509
-
- Physical Therapist
- Indianapolis, IN
- NPI 1316940505
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
Physical Therapist
-
- Orthopaedic Surgery Physician
- Evansville, IN
- NPI 1073501003
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1700595089
Physical Therapist
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1134431125
-
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1841014933
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1699414961
-
- Physical Therapist
- Evansville, IN
- NPI 1730357237
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.