Individual provider Active NPI

Desiree Lynn Lyons Howard, DPT

  • Physical Therapist
  • Riverside, CA
National Provider Identifier
1366030975
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT299713 Issued in CA
Practice address
3191 Mission Inn Ave Ste B
Riverside, CA 92507-4188
Phone
(951) 684-2874
Fax
(951) 684-2980
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT299713 CA Primary

Addresses

Primary practice location

3191 Mission Inn Ave Ste B
Riverside, CA 92507-4188

Mailing address

3191 Mission Inn Ave Ste B
Riverside, CA 92507-4188
Phone (951) 684-2874

Other names 1

  • Dr. Desiree Lynn Lyons Howard Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128002824 CA Practitioner - Physical Therapist in Private Practice 0446664601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3191 Mission Inn Ave
Suite B
Riverside, CA 92507-4188
Phone (951) 684-2874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT299713CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marketplace Physical Therapy Inc, a Professional Corporation Single Specialty CurrentSince Sep 17, 2021 Accepting new patients
All Star Physical Therapy Single Specialty CurrentSince Nov 6, 2023 Accepting new patients
Total Wellness Inc Physical Therapist Past Accepting new patients

Locations

14682 Central Ave
Chino, CA 91710
Phone (909) 217-3664

224 N Riverside Ave
Ste A
Rialto, CA 92376
Phone (909) 873-8369

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1366030975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 MISSION INN AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074188",
            "telephone_number": "951-684-2874",
            "fax_number": "951-684-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 MISSION INN AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074188",
            "telephone_number": "951-684-2874",
            "fax_number": "951-684-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS HOWARD",
        "first_name": "DESIREE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT299713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "LYONS HOWARD",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.