Andrew Alan Lyons, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012332 Issued in OH

Practice address

1100 Shawnee Rd
Lima, OH 45805-3529

Phone

(419) 999-2010

Fax

(419) 999-6284

NPI assigned

Feb 2, 2009

Last updated

Aug 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drayer Physical Therapy Northern Ohio LLC

  • Physical Therapist
  • Dayton, OH
  • NPI 1871919969
  Medicare reassignment NPD
• Burkam & Associates, LLC

  dba Conley Rehabilitation & Sports Medicine

  • Physical Therapy Clinic/Center
  • Columbus, OH
  • NPI 1306866819
  NPD (past)

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1265670012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053583",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053529",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "ANDREW",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT012332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Luttfring, CNP
• Luxottica Retail North America Inc (Sears Optical #1474)
• Luxottica Retail North America Inc (Pearle Vision #C6324)
• Lynn R Capone PSYD LLC
• Holly Ann Lyon
• Steven K. Lyons
• Ashley Lynn Lytle, LSW
• M. Shank, M.D., PH.D., Inc. (Diabetes and Metabolism Special1st Care)
• Amanda Marie Maag, PHARMD
• Elizabeth Maag, PHARMD

• Physical Therapist in Lima, OH
• Providers in Lima, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.