Racheal Marie Lyon, COTA/L

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

OTA.004980 Issued in OH

Practice address

186 W Bath Rd
Cuyahoga Falls, OH 44223-2516

Phone

(330) 922-9911

NPI assigned

Feb 14, 2018

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

Other identifiers 1

Other names 1

• Miss Racheal Marie Reese Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1194225383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 DORCHESTER DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442405653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 W BATH RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232516",
            "telephone_number": "330-922-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "RACHEAL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "OH",
            "license": "OTA.004980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY OFFICE",
            "identifier": "$$$$$$$$$",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEAL",
            "last_name": "REESE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "COTA/LL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Rehabilitation Practitioner in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Rehabilitation Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.