Kyle Lanier

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0014571 Issued in CO

Practice address

1425 Belmont Dr
Longmont, CO 80503-2358

Phone

(720) 388-6904

NPI assigned

Apr 23, 2021

Last updated

Apr 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1336721877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 S MARTIN ST APT B310",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BELMONT DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032358",
            "telephone_number": "720-388-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0014571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Landblom, MD
• Jenny Landis, RPH
• Lane P Bunker, DC, PC
• Kim Rae Lane, M.D.
• Sarah Ren'Ee Lane, LMT
• Clint Steven Lanzen, D.C.
• Lara Henderson Bodywork LLC (Embody Wholeness)
• Larimore Chiropractic & Massage LLC
• Michael L Larimore, DC
• Scarlet Elizabeth Larkin, MA CCC SLP

• Physical Therapy Assistant in Longmont, CO
• Providers in Longmont, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.