Beth Ann Lyons, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

100188 Issued in IA

Practice address

312 N Fremont St Ste B
Stuart, IA 50250-2083

Phone

(515) 523-8049

Fax

(641) 332-3809

NPI assigned

May 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Beth Ann Broesder Former name

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.

• Guthrie County Hospital

  • Critical Access Hospital
  • Guthrie Center, IA
  • NPI 1366414534

  IA

  Medicare reassignment NPD
• Guthrie County Hospital

  • Family Medicine Physician
  • Panora, IA
  • NPI 1962654921
  NPD

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1215501028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N FREMONT ST STE B",
            "city": "STUART",
            "state": "IA",
            "postal_code": "502502083",
            "telephone_number": "515-523-8049",
            "fax_number": "641-338-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N FREMONT ST STE B",
            "city": "STUART",
            "state": "IA",
            "postal_code": "502502083",
            "telephone_number": "515-523-8049",
            "fax_number": "641-332-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "100188",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "100188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BROESDER",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Iowa Physicians Clinic Medical Foundation
• McKenzie Ann Jensen, MA CCC-SLP
• Kari Jo Johns, DPT
• Allison Kaisersatt, OTR
• Kewi Inc.
• Stephanie Lynn Mahoney, BT
• Kirsten Meacham, RPH
• Sabra J Miller, APRN
• Ocular Care Professionals LLC
• Wilda Leella Orewiler, PAC

• All providers in Stuart, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.