Jared James Lichman, DPT, LAT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

825 S Taft Ave Ste 4
Mason City, IA 50401-7345

Phone

(641) 450-0616

NPI assigned

Aug 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Synergy Physical Therapy & Sports Medicine, P.C.

  • Physical Therapy Clinic/Center
  • Charles City, IA
  • NPI 1881080984

  Physical Therapist

  NPD

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1205351673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S TAFT AVE STE 4",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504017345",
            "telephone_number": "641-450-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S TAFT AVE STE 4",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504017345",
            "telephone_number": "641-450-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S Tennessee Pl",
            "address_purpose": "LOCATION",
            "city": "Mason City",
            "state": "IA",
            "postal_code": "504015358",
            "country_code": "US",
            "telephone_number": "641-420-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHMAN",
        "first_name": "JARED",
        "middle_name": "JAMES",
        "credential": "DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "092891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Lewis, LMSW
• Benjamin Lewis
• Stacy Lewis
• Jeffrey Jack Leya, M.D.
• Richmond Li
• Life Change Solutions, Inc.
• Becky Lindaman
• Zachary Theodore Lindquist I, DDS
• Lindstrom Family Practice P.C.
• Lori L Lindstrom, MD

• Physical Therapist in Mason City, IA
• Providers in Mason City, IA by specialty
• Physical Therapist in Iowa

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

Verify at the official NPI Registry.