Individual provider Active NPI

Lynell Pyle Stover, OTR

  • Hand Occupational Therapist
  • Lufkin, TX
National Provider Identifier
1033178116
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
100134 Issued in TX
Practice address
211 S Timberland
Regional Physical Therapy
Lufkin, TX 75901
Phone
(936) 632-5511
Fax
(936) 632-5633
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 100134 TX Primary

Addresses

Primary practice location

211 S Timberland
Regional Physical Therapy
Lufkin, TX 75901

Mailing address

3 Winged Foot CT
Lufkin, TX 75901
Phone (936) 632-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100134TXMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physical Therapy Center Limited Partnership Past Accepting new patients
Regional Physical Therapy Center Limited Partnership Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033178116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WINGED FOOT CT",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75901",
            "telephone_number": "936-632-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S TIMBERLAND",
            "address_2": "REGIONAL PHYSICAL THERAPY",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75901",
            "telephone_number": "936-632-5511",
            "fax_number": "936-632-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "LYNELL",
        "middle_name": "PYLE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "100134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.