Organization Active NPI

Lyons Physical Therapy

  • Physical Therapy Clinic/Center
  • Boise, ID
National Provider Identifier
1538514088
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1156 Issued in ID
Legal business name
LYONS PHYSICAL THERAPY
Practice address
770 S 13TH St
Unit 6581
Boise, ID 83707-0002
Phone
(208) 484-2134
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Mr. Eugene C Lyons, PT
Title
Owner
Phone
(208) 484-2134

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1156 ID Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 1156 ID
General Acute Care Hospital 282N00000X 1156 ID
Health Maintenance Organization 302R00000X 1156 ID
Preferred Provider Organization 305R00000X 1156 ID
Point of Service 305S00000X 1156 ID

Addresses

Primary practice location

770 S 13TH St
Unit 6581
Boise, ID 83707-0002

Mailing address

PO Box 6581
Boise, ID 83707-0581
Phone (208) 484-2134

National Provider Directory

National Provider Directory

Locations

770 S 13th St
Unit 6581
Boise, ID 83707
Phone (208) 484-2134

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1538514088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6581",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837070581",
            "telephone_number": "208-484-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 S 13TH ST",
            "address_2": "UNIT 6581",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837070002",
            "telephone_number": "208-484-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-484-2134",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ID",
            "license": "1156",
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "ID",
            "license": "1156",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ID",
            "license": "1156",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "ID",
            "license": "1156",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "ID",
            "license": "1156",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "ID",
            "license": "1156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.