Active NPI
Jeffrey David Lyman, MSPT
- Physical Therapist
- Feeding Hills, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007813
- Practice address
- 44 Letendre Ave
Feeding Hills, MA 01030-1908 - Phone
- (860) 763-2225
- NPI assigned
- May 24, 2006
- Last updated
- Dec 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080007813CT01 | Other | CT | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007813 | CT | MD | Physical Therapist |
| 17390 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Hartford Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Northeast Orthopaedic Alliance PLLC | Current | Accepting new patients | |
| Northeast Orthopaedic Alliance PLLC | Current | Accepting new patients | |
| New England Orthopedic Surgeons | Current | Accepting new patients | |
| New England Orthopedic Surgeons | Physical Therapist | Current | Accepting new patients |
| Primary Spine & Rehab LLC | Physical Therapist | Past | Accepting new patients |
| Primary Physical Medicine LLC | Past | 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.
-
- Orthopaedic Surgery Physician
- Waltham, MA
- NPI 1417724170
-
- Orthopaedic Surgery Physician
- Springfield, MA
- NPI 1760416630
Physical Therapist
-
- Physical Therapist
- Hartford, CT
- NPI 1093927634
-
- Specialist
- Northampton, MA
- NPI 1710557459
-
- Durable Medical Equipment & Medical Supplies
- Derry, NH
- NPI 1477374155
-
- Family Nurse Practitioner
- Enfield, CT
- NPI 1487190013
-
- Physical Therapist
- Enfield, CT
- NPI 1467667923
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.