Active NPI
Lynn Meyer, P.T., D.P.T.
- Physical Therapist
- Peyton, CO
National Provider Identifier
1558779587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0013575
- Practice address
- 7622 McLaughlin Rd
Peyton, CO 80831-4710 - Phone
- (719) 495-3133
- Fax
- (719) 495-8685
- NPI assigned
- Jul 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4481 | NM | |
| Physical Therapist | 225100000X | 9983 | TN | |
| Physical Therapist | 225100000X | PTL.0013575 | CO | Primary |
Addresses
Primary practice location
7622 McLaughlin Rd
Peyton, CO 80831-4710
Mailing address
1841 E Morrow Ave
Kingman, AZ 86409-3026
Phone (928) 753-4263
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4481 | NM | MD | Counselor |
| PTL.0013575 | CO | MD | Physical Therapist |
| 9983 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1558779587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 E MORROW AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864093026",
"telephone_number": "928-753-4263",
"fax_number": "928-753-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7622 MCLAUGHLIN RD",
"city": "PEYTON",
"state": "CO",
"postal_code": "808314710",
"telephone_number": "719-495-3133",
"fax_number": "719-495-8685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "LYNN",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-22",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "4481",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "9983",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0013575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peyton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.