Active NPI
Edward J Lyons, PT
- Physical Therapist
- Sykesville, MD
National Provider Identifier
1427125723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17195
- Practice address
- 1912 Liberty Rd
Sykesville, MD 21784-6602 - Phone
- (410) 795-7696
- Fax
- (410) 795-5789
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17195 | MD | Primary |
Addresses
Primary practice location
1912 Liberty Rd
Sykesville, MD 21784-6602
Mailing address
618 W Patrick St
Frederick, MD 21701-4028
Phone (410) 795-7696
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T4730002 | Other | MD | GHMSI |
| 60850502 | Other | MD | CAREFIRST MARYLAND |
| 7295156 | Other | MD | AETNA |
| 2126696 | Other | MD | MAMSI |
| 3584226 | Other | MD | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17195 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amber Hill Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Plaza Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- elyons9376@direct.hopkinsmedicine.org
Organizations & group practices 2
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.
-
- Physical Therapist
- Sykesville, MD
- NPI 1295802593
-
- Physical Therapist
- Frederick, MD
- NPI 1548290224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1427125723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 W PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014028",
"telephone_number": "410-795-7696",
"fax_number": "470-795-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 LIBERTY RD",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217846602",
"telephone_number": "410-795-7696",
"fax_number": "410-795-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "EDWARD",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHMSI",
"identifier": "T4730002",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "60850502",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7295156",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2126696",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3584226",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sykesville, MD
- Lifetime Dental Care of Maryland, Badger, P.C. (Dental Care of Eldersburg Commons)
- Listen, Speak and Communicate Speech Language Pathology
- Livewell Therapy Services, LLC
- Brianna Lubinski, BSN RN
- Kristie Luckett
- Mary Mabe
- Michael Andrew Maher
- Allison Ann Marie Malcolm, M.D.
- Vaseem Malik, MD
- Stacie Maring
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.