Robert Wiliam Lyles, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0019684 Issued in CO

Practice address

112 N Rubey Dr Unit 135
Golden, CO 80403-3214

Phone

(303) 279-7703

Fax

(303) 278-1037

NPI assigned

Apr 4, 2019

Reactivated

Jul 14, 2022

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theraphysics Partners of Colorado, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Golden, CO
  • NPI 1285660936

  Physical Therapist

  NPD (past)
• Theraphysics Partners of Colorado, Inc.

  dba Physiotherapy Associates

  • Physical Therapy Clinic/Center
  • Broomfield, CO
  • NPI 1457364069
  NPD (past)
• Frisco Physical Therapy Limited Partnership

  • Physical Therapist
  • Frisco, TX
  • NPI 1417992363
  NPD (past)

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1477015758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N RUBEY DR UNIT 135",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804033214",
            "telephone_number": "303-279-7703",
            "fax_number": "303-278-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLES",
        "first_name": "ROBERT",
        "middle_name": "WILIAM",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "deactivation_date": "2022-04-05",
        "reactivation_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019684",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daneen Ann Luna, P.T.
• Emma Lundien, O.D.
• Rebekah Ann Lurtz, PTA
• Lutheran Campus ASC LLC (The Surgery Center at Lutheran)
• Ryan Davis Lutz, MD
• Amy Lynch
• Jennifer Marie Lyng, PT, DPT, ATC, CSCS
• Maeve Lyons, PA
• Christina Marie Macgowan, R.PH.
• Hailey Elizabeth Macgregor-Monserud, PHARMD

• Physical Therapist in Golden, CO
• Providers in Golden, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.