Individual provider Active NPI

Lydia L Neu, PT

  • Physical Therapist
  • Lawrence, KS
National Provider Identifier
1548265663
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1100633 Issued in KS
Practice address
1305 Wakarusa Dr
Lawrence, KS 66049-3830
Phone
(785) 842-3444
Fax
(785) 842-3410
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1100633 KS Primary

Addresses

Primary practice location

1305 Wakarusa Dr
Lawrence, KS 66049-3830

Mailing address

1305 Wakarusa Dr
Lawrence, KS 66049-3830
Phone (785) 842-3444

Other identifiers 1

IdentifierTypeStateIssuer
100328780AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000191 KS Practitioner - Physical Therapist in Private Practice 7012805369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1977
Medicare assignment
May accept Medicare assignment
Group practices
Neu Physical Therapy IncGroup PAC ID 9234027582, 4 clinicians

Practice addresses (Care Compare)

1305 Wakarusa Dr
Lawrence, KS 66049-3830
Phone (785) 842-3444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00633KSMDBehavioral Analyst
1100633KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neu Physical Therapy Inc Physical Therapist CurrentSince Feb 1, 1996 Accepting new patients
Pro-Fit Physical Therapy Center Physical Therapist PastSince Nov 4, 2003 Accepting new patients
Neu Physical Therapy Inc Physical Therapist PastSince Feb 1, 1996 Accepting new patients

Locations

930 Ames St
Baldwin City, KS 66006
Phone (785) 594-2600

1305 Wakarusa Dr
Lawrence, KS 66049
Phone (785) 331-9399

Organizations & group practices 3

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1548265663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WAKARUSA DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493830",
            "telephone_number": "785-842-3444",
            "fax_number": "785-842-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WAKARUSA DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493830",
            "telephone_number": "785-842-3444",
            "fax_number": "785-842-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEU",
        "first_name": "LYDIA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1100633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100328780A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.