Individual provider Active NPI

Conor Lyons, DPT

  • Physical Therapist
  • Nashua, NH
National Provider Identifier
1346766896
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4750 Issued in NH
Practice address
57 Northeastern Blvd Ste 202
Nashua, NH 03062-3154
Phone
(603) 854-5885
Fax
(603) 292-3121
NPI assigned
Aug 16, 2017
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 23197 MA
Physical Therapist 225100000X 4750 NH Primary

Addresses

Primary practice location

57 Northeastern Blvd Ste 202
Nashua, NH 03062-3154

Mailing address

73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180113000064 MA Practitioner - Physical Therapist in Private Practice 3173882412 Reassigns benefits to 1 organization
I20210113000762 NH Practitioner - Physical Therapist in Private Practice 3173882412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Bridge St
Suite 200
Manchester, NH 03101-1630
Phone (603) 665-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4750NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Nov 20, 2017 Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Dec 7, 2020 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist CurrentSince Dec 7, 2020 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist Current Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist Past Accepting new patients

Locations

703 Granite St
Fl 3
Braintree, MA 02184

703 Granite St
Ste 3
Braintree, MA 02184

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

67 Parkhurst Rd
Ste 3
Chelmsford, MA 01824
Phone (978) 935-4055

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

63 Winthrop St
Ste C1C2
Taunton, MA 02780
Phone (508) 822-8514

50 Bridge St
Ste 200
Manchester, NH 03101
Phone (603) 665-9222

57 Northeastern Blvd
Ste 202
Nashua, NH 03062
Phone (603) 484-0735

73 Newton Rd
Unit 101
Plaistow, NH 03865
Phone (978) 388-7272

Organizations & group practices 5

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1346766896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NORTHEASTERN BLVD STE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623154",
            "telephone_number": "603-854-5885",
            "fax_number": "603-292-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "CONOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23197",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.