Jennifer Marie Lyng, PT, DPT, ATC, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL-10143 Issued in CO

Practice address

660 Golden Ridge Rd
Suite 250
Golden, CO 80401-9541

Phone

(303) 233-1223

Fax

(303) 233-1223

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1255588554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD",
            "address_2": "SUITE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-233-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD",
            "address_2": "SUITE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-233-1223",
            "fax_number": "303-233-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNG",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "PT, DPT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL-10143",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "070402660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72621818",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Ann Lurtz, PTA
• Lutheran Campus ASC LLC
• Ryan Davis Lutz, MD
• Robert Wiliam Lyles, PT, DPT, ATC
• Amy Lynch
• Maeve Lyons, PA
• Christina Marie Macgowan, R.PH.
• Hailey Elizabeth Macgregor-Monserud, PHARMD
• Olga Rosalie Macias
• Kimberly F. Madden, PA-C

• Physical Therapist in Golden, CO
• Providers in Golden, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.