Active NPI
Daniel Lyons, PT, DPT
- Orthopedic Physical Therapist
- Columbia, SC
National Provider Identifier
1063285401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 11031
- Practice address
- 101 Business Park Blvd
Columbia, SC 29203-8401 - Phone
- (803) 296-9206
- NPI assigned
- Nov 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 11031 | SC | Primary |
Addresses
Primary practice location
101 Business Park Blvd
Columbia, SC 29203-8401
Mailing address
101 Business Park Blvd
Columbia, SC 29203-8401
Phone (803) 296-9206
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11031 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1063285401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BUSINESS PARK BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038401",
"telephone_number": "803-296-9206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BUSINESS PARK BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038401",
"telephone_number": "803-296-9206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "DANIEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-06",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "SC",
"license": "11031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.