Individual provider Active NPI

Lynn C Boysel, DO

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
National Provider Identifier
1346289386
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A23082 Issued in CA
Practice address
3972 N Campbell Ave
Tucson, AZ 85719-1460
Phone
(520) 795-6412
Fax
(520) 326-0142
NPI assigned
Jun 5, 2006
Last updated
Oct 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A23082 CA Primary
Physical Medicine & Rehabilitation Physician 208100000X 4393 AZ

Addresses

Primary practice location

3972 N Campbell Ave
Tucson, AZ 85719-1460

Mailing address

3972 N Campbell Ave
Tucson, AZ 85719-1460
Phone (520) 668-8775

Other practice location 1

5205 Marina Pacifica Dr N # 21
Long Beach, CA 90803-3800
Phone (888) 749-1199

Other identifiers 2

IdentifierTypeStateIssuer
Z147921OtherAZMEDICARE PTAN
20A23082OtherCACALIFORNIA OSTEOPATHIC MEDICAL LICENSE

Other names 1

  • Lynn Casey Boysel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 1, 2018 through Dec 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A23082CAMDPhysical Medicine & Rehabilitation Physician
4393AZMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1346289386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191460",
            "telephone_number": "520-668-8775",
            "fax_number": "520-326-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191460",
            "telephone_number": "520-795-6412",
            "fax_number": "520-326-0142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5205 Marina Pacifica Dr N # 21",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908033800",
            "country_code": "US",
            "telephone_number": "888-749-1199",
            "fax_number": "813-330-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYSEL",
        "first_name": "LYNN",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A23082",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "4393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z147921",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA OSTEOPATHIC MEDICAL LICENSE",
            "identifier": "20A23082",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "BOYSEL",
            "middle_name": "CASEY",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.