Jill C Lyons, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10654-024 Issued in WI

Practice address

3611 S Chicago Ave
Sutie 120
South Milwaukee, WI 53172-3708

Phone

(414) 766-2440

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Full Circle Therapy and Wellness LLCGroup PAC ID 1052812914, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Full Circle Therapy and Wellness LLC

  • Physical Therapist
  • De Pere, WI
  • NPI 1104619550
  Medicare reassignment Care Compare group NPD
• Andrews Physical Therapy, SC

  • Physical Therapist
  • De Pere, WI
  • NPI 1487667192
  Medicare reassignment NPD
• Aurora Health Care Metro, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1861447179
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1154480820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 15TH AVE",
            "address_2": "SUITE 180",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531721160",
            "telephone_number": "414-764-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S CHICAGO AVE",
            "address_2": "SUTIE 120",
            "city": "SOUTH MILWAUKEE",
            "state": "WI",
            "postal_code": "531723708",
            "telephone_number": "414-766-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JILL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10654-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Paige Leon, MSN, RN, AGCNS-BC
• Taisha A Lewis, LPN
• Kristen M Lezala, RN
• Lori Ann Lindstadt
• Angela Koren Lucchesi
• Mallory Lytle
• M & M Physical Therapy, LLC
• Kelly Macomber, REGISTERED NURSE
• Alyssa F Markosen
• Jane Knight Martin, DDS

• Physical Therapist in South Milwaukee, WI
• Providers in South Milwaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.