Active NPI
Lyons Physical Therapy
- Physical Therapy Clinic/Center
- Boise, ID
National Provider Identifier
1538514088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1156
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.