Active NPI
Lauren Danae Lynass
- Physical Therapist
- Port Royal, SC
National Provider Identifier
1164939708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1510 Ribaut Rd
Port Royal, SC 29935-1403 - Phone
- (602) 808-8989
- NPI assigned
- Jan 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AZ | Primary |
Addresses
Primary practice location
1510 Ribaut Rd
Port Royal, SC 29935-1403
Mailing address
1075 N Miller Rd Apt 336
Scottsdale, AZ 85257-4633
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forte - Phoenix, PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1164939708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 N MILLER RD APT 336",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852574633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 RIBAUT RD",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299351403",
"telephone_number": "602-808-8989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNASS",
"first_name": "LAUREN",
"middle_name": "DANAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Royal, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.