Lisa Suzanne Clyne, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

000908 Issued in CT

Practice address

1300 Post Rd E
Westport, CT 06880-5537

Phone

(203) 259-2124

Fax

(203) 259-2004

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Haven Chiropractic, LLC

  • Chiropractor
  • New Haven, CT
  • NPI 1326168758
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033218862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805537",
            "telephone_number": "203-259-2124",
            "fax_number": "203-259-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805537",
            "telephone_number": "203-259-2124",
            "fax_number": "203-259-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYNE",
        "first_name": "LISA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CT",
            "license": "000908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Choksi, L.AC.
• Maria Cimina
• Betsy Hausknecht Clachko, M.D.
• Alexandra Clough, LCSW
• Clyne Chiropractic & Wellness, LLC
• Coastal Orthopaedics, P.C.
• Jennifer Jester Coffman, LCSW
• Randi Lynn Cohen, MD, PHD
• Cohen's Fashion Optical
• Joyce Colburn, LCSW

• Sports Physician Chiropractor in Westport, CT
• Providers in Westport, CT by specialty
• Sports Physician Chiropractor in Connecticut

• 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.