Individual provider Active NPI

Raymond Louis Lynch, PT, DPT

  • Physical Therapist
  • Columbus, GA
National Provider Identifier
1629507165
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012908 Issued in GA
Practice address
6053 Veterans Pkwy Ste 103
Columbus, GA 31909-4663
Phone
(706) 786-6530
Fax
(706) 786-6535
NPI assigned
Jun 8, 2017
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 PT012908 GA Primary

Addresses

Primary practice location

6053 Veterans Pkwy Ste 103
Columbus, GA 31909-4663

Mailing address

35 Lauri LN
Fortson, GA 31808-5074
Phone (706) 566-3922

Other practice location 1

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170830000933 GA Practitioner - Physical Therapist in Private Practice 1456624279 Reassigns benefits to 3 organizations
I20201217001892 AL Practitioner - Physical Therapist in Private Practice 1456624279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South - Columbus LLCGroup PAC ID 6901214162, 5 clinicians

Practice addresses (Care Compare)

6053 Veterans Pkwy
Suite 103
Columbus, GA 31909-4663
Phone (706) 786-6530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Auburn LLC Physical Therapist CurrentSince Oct 12, 2020 Accepting new patients
The Corporation of Mercer University Current Accepting new patients
Therapy South - Columbus LLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Mercer Physical Therapy CurrentSince Jul 1, 2017 Accepting new patients
R & R Rehabiliation, P.C. Physical Therapist CurrentSince Feb 6, 2019 Accepting new patients
The Corporation of Mercer University CurrentSince Jul 1, 2017 Accepting new patients

Locations

1530 E Glenn Ave
Ste C
Auburn, AL 36830
Phone (334) 502-7839

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

3001 Mercer University Dr
Ste 106
Atlanta, GA 30341
Phone (678) 547-6439

6053 Veterans Pkwy
Ste 103
Columbus, GA 31909
Phone (706) 786-6530

6079 Knology Way
Columbus, GA 31909
Phone (706) 507-4433

1550 College St
Macon, GA 31207
Phone (478) 301-2600

250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1629507165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LAURI LN",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318085074",
            "telephone_number": "706-566-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6053 VETERANS PKWY STE 103",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094663",
            "telephone_number": "706-786-6530",
            "fax_number": "706-786-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Northside Forsyth Dr",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417659",
            "country_code": "US",
            "telephone_number": "770-844-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "RAYMOND",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2021-03-30",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.