Lydia Boyles, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT61446544 Issued in WA

Practice address

31955 State Route 20
Oak Harbor, WA 98277-5211

Phone

(360) 679-8600

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harada Physical Therapy & Rehab Services Inc., P.S.

  • Physical Therapist
  • Oak Harbor, WA
  • NPI 1629066717
  Medicare reassignment NPD

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1346934296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31955 STATE ROUTE 20",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775211",
            "telephone_number": "360-679-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31955 STATE ROUTE 20",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775211",
            "telephone_number": "360-679-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "LYDIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "PT61446544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Dielle Read Bower
• Caroline Boyce
• Jessica Boyd, APRN
• Chad Boyer
• Genia Harris Boyles, CPC
• Carolyn Brady, LMP
• Anni Brandt, MD
• Christine Brannon
• Ashley Elizabeth Bratt, CERTIFIED COUNSELOR
• Enid Braun

• Physical Medicine & Rehabilitation Physician in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.