Active NPI
Lynn Ellen Hanlon, DPT
- Physical Therapist
- Baytown, TX
National Provider Identifier
1487129292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1311313
- Practice address
- 750 Rollingbrook Dr
Baytown, TX 77521-4059 - Phone
- (832) 572-7575
- NPI assigned
- Oct 8, 2018
- Sex
- Female
- 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 | 1311313 | TX | Primary |
Addresses
Primary practice location
750 Rollingbrook Dr
Baytown, TX 77521-4059
Mailing address
1433 Vincennes St Apt 4
Crete, IL 60417-2891
Phone (630) 715-6758
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1311313 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1487129292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 VINCENNES ST APT 4",
"city": "CRETE",
"state": "IL",
"postal_code": "604172891",
"telephone_number": "630-715-6758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 ROLLINGBROOK DR",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775214059",
"telephone_number": "832-572-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLON",
"first_name": "LYNN",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1311313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.