Lynn Medoff Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2595 Issued in AZ

Legal business name

LYNN MEDOFF PHYSICAL THERAPY

Practice address

1428 N Mariposa Rd
Flagstaff, AZ 86004-7347

Phone

(928) 526-1112

Fax

(928) 714-9285

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Lynn E Medoff, PTNPI 1639113400

Title

Physical Therapist

Phone

(928) 526-1112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn E Medoff, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Flagstaff, AZ
  • NPI 1639113400
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1194994665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 N MARIPOSA RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047347",
            "telephone_number": "928-526-1112",
            "fax_number": "928-714-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 N MARIPOSA RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047347",
            "telephone_number": "928-526-1112",
            "fax_number": "928-714-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN MEDOFF PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "MEDOFF",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-526-1112",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "2595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc
• Luxottica of America Inc
• Jessica T Lyerly, PHARMD
• Tom Lyle, ATC
• Laura Lyn, PH.D.
• Karon B Lynn, AUD
• Michele Lynn, LPC
• Donna Lyons, M.ED.
• Latoya Jodian Lyttle-Forrester
• Sherry Ann Mace, FNP

• Physical Medicine & Rehabilitation Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.