Active NPI
Caleb Lynch, PT, DPT, CERT DN
- Physical Therapist
- Green Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 30956
- Practice address
- 1055 N la Canada Dr Ste 123
Green Valley, AZ 85614-3700 - Phone
- (520) 462-0439
- NPI assigned
- Feb 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 30956 | AZ | Primary |
Addresses
Primary practice location
1055 N la Canada Dr Ste 123
Green Valley, AZ 85614-3700
Mailing address
3017 S Patrick Cir
Tucson, AZ 85730-2911
Phone (678) 994-9572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30956 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aw Broadway and Craycroft, LLC | Physical Therapist | Current | Accepting new patients |
| Arenson Wasserbeck LLC | Physical Therapist | Current | Accepting new patients |
| Arizona Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4850 E Baseline Rd
Ste 114
Mesa, AZ 85206
Phone (480) 396-2781
14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362
5545 E Broadway Blvd
Ste 113
Tucson, AZ 85711
Phone (520) 372-2714
1360 W Irvington Rd
Ste 280
Tucson, AZ 85746
Phone (520) 372-2724
1370 N Silverbell Rd
Ste 160
Tucson, AZ 85745
Phone (520) 372-2724
Organizations & group practices 3
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
- Mesa, AZ
- NPI 1316946379
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
-
- Physical Therapist
- Tucson, AZ
- NPI 1588386494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1457984841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 S PATRICK CIR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857302911",
"telephone_number": "678-994-9572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N LA CANADA DR STE 123",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856143700",
"telephone_number": "520-462-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "CALEB",
"credential": "PT, DPT, CERT DN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-13",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "30956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.