Lydia Boyle

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1246908 Issued in TX

Practice address

23010 Highland Knolls Blvd
Suite G
Katy, TX 77494-8345

Phone

(281) 665-3271

Fax

(281) 665-3268

NPI assigned

Sep 16, 2014

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Proactive Physical Therapy Centers, PLLC

  • Physical Therapist
  • Pearland, TX
  • NPI 1851454326
  NPD (past)

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1285035790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST",
            "address_2": "SUITE B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847880",
            "telephone_number": "713-436-3900",
            "fax_number": "713-436-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23010 HIGHLAND KNOLLS BLVD",
            "address_2": "SUITE G",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948345",
            "telephone_number": "281-665-3271",
            "fax_number": "281-665-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1246908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Mary Bowen, D.O.
• Heather Bowman, LPC
• Brooke Marie Boyce, LPC
• Barbara Joanne Boyett, P.T.
• Jodi Boyle
• Farrah Bozorgi
• Shima Bozorgui, MD, MPH
• Trishana Bracy
• Tanisha Wanjira Bradford, LCSW
• Bradfords Sports Therapy & Med Spa LLC

• Physical Therapist in Katy, TX
• Providers in Katy, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.