Lyssa Cleary, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1640 Marengo St
Los Angeles, CA 90033-1036

Phone

(323) 224-7070

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Athletic Lab Physical Therapy and Performance Training

  • Physical Therapy Clinic/Center
  • Santa Monica, CA
  • NPI 1427632751
  NPD
• Ethan Waldman Physical Therapy & Wellness Inc

  • Physical Therapist
  • Playa del Rey, CA
  • NPI 1588324131
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1457767121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N HUDSON AVE",
            "address_2": "APT 315W",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331036",
            "telephone_number": "323-224-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "LYSSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearview Medical Group, Inc.
• Clearview Vision
• Ann Cleary, LAC
• Elizabeth H Cleary, PHD
• Josh Alfred Cleary
• Jennifer Lynne Clebanoff, M.D.
• Camille Lynnae Clefton
• Clegg, NP Corp
• Daniel O'Neal Cleland, PT
• Kathleen Lynn Clemans, D.D.S.

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.