Individual provider Active NPI

James Curtis Lyons, PT

  • Physical Medicine & Rehabilitation Physician
  • Shreveport, LA
National Provider Identifier
1487201257
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
03184 Issued in LA
Practice address
1715 Marycrest Ave Ste 200
Shreveport, LA 71101-5074
Phone
(318) 751-9100
Fax
(318) 751-9101
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 03184 LA Primary

Addresses

Primary practice location

1715 Marycrest Ave Ste 200
Shreveport, LA 71101-5074

Mailing address

1715 Marycrest Ave Ste 200
Shreveport, LA 71101-5074
Phone (318) 751-9100

Other identifiers 1

IdentifierTypeStateIssuer
PT.03184OtherLASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://injurymd.clinic

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

LicenseStateTypeSpecialty
03184LAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Injurymd, LLC PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1487201257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 MARYCREST AVE STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711015074",
            "telephone_number": "318-751-9100",
            "fax_number": "318-751-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 MARYCREST AVE STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711015074",
            "telephone_number": "318-751-9100",
            "fax_number": "318-751-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JAMES",
        "middle_name": "CURTIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "03184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT.03184",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://injurymd.clinic",
            "affiliation": "N",
            "address_1": "1715 Marycrest Ave Ste 200",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711015074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.