Individual provider Active NPI

Jane R Lyttle, PT

  • Physical Therapist
  • Milford, NH
National Provider Identifier
1386989382
Registry record updated Dec 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0944 Issued in NH
Practice address
366 Federal Hill Rd
Milford, NH 03055-3602
Phone
(603) 493-6745
NPI assigned
Dec 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0944 NH Primary

Addresses

Primary practice location

366 Federal Hill Rd
Milford, NH 03055-3602

Mailing address

366 Federal Hill Rd
Milford, NH 03055-3602

Other names 1

  • Jane R Simonson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0944NHMDAddiction (Substance Use Disorder) Counselor
0914NHMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354320000000",
    "number": "1386989382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 FEDERAL HILL RD",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030553602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 FEDERAL HILL RD",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030553602",
            "telephone_number": "603-493-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTTLE",
        "first_name": "JANE",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-01",
        "last_updated": "2012-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "0944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "SIMONSON",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.