Paul Matthew Lydeard, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02022 Issued in RI

Practice address

1539 Atwood Ave
Johnston, RI 02919-3262

Phone

(401) 351-0515

Fax

(401) 351-0530

NPI assigned

Jul 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pappas Physical Therapy LLCGroup PAC ID 2567708233, 80 clinicians

Practice addresses (Care Compare)

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.

• Pappas Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Johnston, RI
  • NPI 1851862692

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Pappas Physical Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • North Kingstown, RI
  • NPI 1174246672
  NPD
• Lepre Physical Therapy of North Providence, LLC

  • Physical Therapist
  • North Providence, RI
  • NPI 1588617609
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1386843902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20372",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200944",
            "telephone_number": "401-785-1016",
            "fax_number": "401-785-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 ATWOOD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193262",
            "telephone_number": "401-351-0515",
            "fax_number": "401-351-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDEARD",
        "first_name": "PAUL",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT02022",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Loveday-McGuire, LMHC
• Suzanne E Lowe, CNM
• Joanne Lozy, LMT
• Lucas Medical LLC
• Angelica Rosemary Lupo, PHARM D
• Tracey Macdonald, R.N.
• Daniel Macera, DPT
• Krystal Nicole Machado, PSYD
• Veronica Machado
• Marykate Machardy

• Physical Therapist in Johnston, RI
• Providers in Johnston, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.