Individual provider Active NPI

Jeffrey David Lyman, MSPT

  • Physical Therapist
  • Feeding Hills, MA
National Provider Identifier
1346295714
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007813 Issued in CT
Practice address
44 Letendre Ave
Feeding Hills, MA 01030-1908
Phone
(860) 763-2225
NPI assigned
May 24, 2006
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007813 CT Primary
Physical Therapist 225100000X 17390 MA

Addresses

Primary practice location

44 Letendre Ave
Feeding Hills, MA 01030-1908

Mailing address

36 Woodland Street
Hartford, CT 06105-2325
Phone (860) 522-2717

Other identifiers 1

IdentifierTypeStateIssuer
080007813CT01OtherCTBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060215000542 CT Practitioner - Physical Therapist in Private Practice 8426063207 Reassigns benefits to 1 organization
I20211129001489 MA Practitioner - Physical Therapist in Private Practice 8426063207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

975 Springfield St
Feeding Hills, MA 01030-2190
Phone (714) 785-4666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007813CTMDPhysical Therapist
17390MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hartford Physical Therapy Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
New England Orthopedic Surgeons CurrentSince Dec 13, 2021 Accepting new patients
New England Orthopedic Surgeons Physical Therapist CurrentSince Dec 13, 2021 Accepting new patients
Primary Spine & Rehab LLC Physical Therapist PastSince Jul 24, 2003 Accepting new patients
Primary Physical Medicine LLC PastSince Dec 24, 2016 Accepting new patients

Locations

580 Cottage Grove Rd
Ste 101
Bloomfield, CT 06002
Phone (860) 286-1043

191 Franklin Ave
Hartford, CT 06114
Phone (860) 296-7460

36 Woodland St
Hartford, CT 06105
Phone (860) 522-2717

36 Woodland St
#0
Hartford, CT 06105

265 Benton Dr
Ste 101
East Longmeadow, MA 01028
Phone (714) 785-4666

975 Springfield St
Feeding Hills, MA 01030
Phone (714) 785-4666

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1346295714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WOODLAND STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052325",
            "telephone_number": "860-522-2717",
            "fax_number": "860-240-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 LETENDRE AVE",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010301908",
            "telephone_number": "860-763-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007813",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "080007813CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Feeding Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.