Lystra Physical Therapy and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PTH4294 Issued in AL

Legal business name

LYSTRA PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

8331 Madison Blvd
Madison, AL 35758-2068

Phone

(256) 325-2070

Fax

(844) 587-9612

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Robert Malone, PTNPI 1225136369

Title

PT

Phone

(256) 325-2070

Specialties & licenses 1

Addresses

Other names 1

• Robert Malone Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Malone, RPT

  • Contractor
  • Madison, AL
  • NPI 1225136369
  Medicare reassignment Care Compare group NPD Authorized official
• Olivia Meadors, PT, DPT

  • Physical Therapist
  • Huntsville, AL
  • NPI 1194339473
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1407224728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 MADISON BLVD",
            "address_2": "SUITE 500",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582068",
            "telephone_number": "256-325-2070",
            "fax_number": "844-587-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 MADISON BLVD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582068",
            "telephone_number": "256-325-2070",
            "fax_number": "844-587-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSTRA PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "256-325-2070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PTH4294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Malone",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Robert Malone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth H Ludwig, LMT
• Anna Lueker
• Lymphedema Solutions, Inc.
• Jessica Nicole Lynn, RN
• Susie Warren Lynn, M.D.
• Krystal Lytle, MSOTR/L, CHT
• Hannah Winningham Mabrey
• Makayla Macilveen, M.S., CCC-SLP
• Kyle Blake Maddox, D.C.
• Madison Acupuncture Wellness LLC

• Physical Therapy Clinic/Center in Madison, AL
• Providers in Madison, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.