Individual provider Active NPI

Katy June Lyon, DPT

  • Physical Therapist
  • Lorton, VA
National Provider Identifier
1184874554
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205651 Issued in VA
Practice address
9447B Lorton Market St
#250
Lorton, VA 22079-1963
Phone
(703) 372-5716
NPI assigned
Sep 23, 2008
Last updated
Apr 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205651 VA Primary

Addresses

Primary practice location

9447B Lorton Market St
#250
Lorton, VA 22079-1963

Mailing address

7461 Towchester CT
Alexandria, VA 22315-3837
Phone (703) 209-9868

Other names 1

  • Katy June Allison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000689 DC Practitioner - Physical Therapist in Private Practice 7517115942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back in Motion Physical Therapy LLCGroup PAC ID 3274522784, 22 clinicians

Practice addresses (Care Compare)

9447 B Lorton Market St
Suite 250
Lorton, VA 22079-1963
Phone (703) 372-5716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305205651VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Your Way PLLC CurrentSince Mar 23, 2018 Accepting new patients
Back in Motion Physical Therapy LLC Physical Therapist CurrentSince Apr 28, 2015 Accepting new patients

Locations

5695 King Centre Dr
Ste 102
Alexandria, VA 22315
Phone (571) 312-6966

9447B Lorton Market St
#250
Lorton, VA 22079
Phone (703) 372-5716

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1184874554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7461 TOWCHESTER CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153837",
            "telephone_number": "703-209-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9447B LORTON MARKET ST",
            "address_2": "#250",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791963",
            "telephone_number": "703-372-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "KATY",
        "middle_name": "JUNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "ALLISON",
            "middle_name": "JUNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.