Active NPI
Laura Lyon, PT
- Physical Therapist
- Monticello, AR
National Provider Identifier
1205118221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3396
- Practice address
- 1200 Old Warren Rd
Monticello, AR 71655-9723 - Phone
- (870) 367-1548
- NPI assigned
- Sep 15, 2011
- Last updated
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 3396 | AR | Primary |
Addresses
Primary practice location
1200 Old Warren Rd
Monticello, AR 71655-9723
Mailing address
1200 Old Warren Rd
Monticello, AR 71655-9723
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3396 | AR | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arkansas Rehabilitation, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Monticello, AR
- NPI 1295882843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1205118221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 OLD WARREN RD",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716559723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD WARREN RD",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716559723",
"telephone_number": "870-367-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON",
"first_name": "LAURA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "3396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, AR
- Lindsey's Respiratory, L.L.C
- Living Hope Southeast, LLC
- Living Hope Southeast, LLC
- Jackson Lowery
- Misty Lyle, LPC
- Jessica N Maggard
- Main Street Family Dental
- Mainline Health Systems Inc (Monticello Community Health Center)
- Mainline Health Systems Inc (Mainline UAM Behavioral Health Clinic)
- Mainline Health Systems Inc (Mainline UAM Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.