Individual provider Active NPI

John P Lyons, MPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1659318749
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1827 Issued in NV
Practice address
600 S Rancho Dr
Suite 103
Las Vegas, NV 89106-4867
Phone
(702) 794-0300
Fax
(702) 832-5930
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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 1827 NV Primary

Addresses

Primary practice location

600 S Rancho Dr
Suite 103
Las Vegas, NV 89106-4867

Mailing address

8705 Red Brook Dr Unit 103
Las Vegas, NV 89128-8444
Phone (702) 644-3398

Other identifiers 3

IdentifierTypeStateIssuer
100504120MedicaidNV
11487010OtherNVCAQH
1659318749MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000596 NV Practitioner - Physical Therapist in Private Practice 6608843362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyons Physical Therapy LLCGroup PAC ID 2769789429, 2 clinicians

Practice addresses (Care Compare)

600 S Tonopah Dr
Suite 230
Las Vegas, NV 89106-4042
Phone (702) 476-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1827NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lyons Home Care LLC Physical Therapist Current Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Apr 1, 2014 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Apr 1, 2014 Accepting new patients
Lyons Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients
Continuum Group West LLC Physical Therapist Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

8367 W Flamingo Rd
Ste 100
Las Vegas, NV 89147
Phone (702) 381-4114

1950 E Desert Inn Rd
Las Vegas, NV 89169
Phone (702) 735-1501

600 S Tonopah Dr
Ste 230
Las Vegas, NV 89106
Phone (702) 380-0671

600 S Rancho Dr
Ste 103
Las Vegas, NV 89106
Phone (702) 258-9381

Organizations & group practices 5

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1659318749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 RED BROOK DR UNIT 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891288444",
            "telephone_number": "702-644-3398",
            "fax_number": "702-832-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S RANCHO DR",
            "address_2": "SUITE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064867",
            "telephone_number": "702-794-0300",
            "fax_number": "702-832-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100504120",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11487010",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659318749",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.