Individual provider Active NPI

Lynn D Leroy

  • Physical Therapy Assistant
  • Irving, TX
National Provider Identifier
1245801331
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2141792 Issued in TX
Practice address
2101 W Northgate Dr
Irving, TX 75062-2650
Phone
(972) 455-4460
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2141792 TX Primary

Addresses

Primary practice location

2101 W Northgate Dr
Irving, TX 75062-2650

Mailing address

3635 Garden Brook Dr Apt 8100
Farmers Branch, TX 75234-2488
Phone (305) 917-5888

Other practice location 1

3635 Garden Brook Dr Apt 8100
Farmers Branch, TX 75234-2488
Phone (305) 917-5888

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2141792TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1245801331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 GARDEN BROOK DR APT 8100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752342488",
            "telephone_number": "305-917-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W NORTHGATE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622650",
            "telephone_number": "972-455-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3635 Garden Brook Dr Apt 8100",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752342488",
            "country_code": "US",
            "telephone_number": "305-917-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEROY",
        "first_name": "LYNN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2141792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.