Michelle Lee Lyman, PTA/L

Key facts

NPI

1336038983

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

5502001537 (MI)

Practice address

601 E Main St
Hart, MI 49420-1144

Phone

(231) 873-3577

NPI assigned

Jun 30, 2025

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Ivyrehab Michigan, LLC Sports Medicine (Physical Medicine & Rehabilitation) Physician · Fenton, MI · NPI 1104337120
  NPD
• Lakeside Comprehensive Rehabilitation Inc. Physical Therapy Clinic/Center · Hart, MI · NPI 1396779542
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2025.

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1336038983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201144",
            "telephone_number": "231-873-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "city": "HART",
            "state": "MI",
            "postal_code": "494201144",
            "telephone_number": "231-873-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "PTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502001537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hart, MI

• Brandi Kraley
• Lakeshore Community Hospital, Inc.
• Lakeside Comprehensive Rehabilitation Inc.
• Rachelle Ledger, SLP
• Brianna Lombard, COTA/L
• Alexis Marsh
• Peter Mason, DDS
• Kendra Sue Masunas
• Sonja Dietta Mayo, LMSW
• James McCann

All providers in Hart, MI · Physical Therapy Assistant in Michigan