Active NPI
John P Lyons, MPT
- Physical Therapist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1827
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100504120 | Medicaid | NV | |
| 11487010 | Other | NV | CAQH |
| 1659318749 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1827 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyons Home Care LLC | Physical Therapist | Current | Accepting new patients |
| New Century Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| New Century Rehabilitation, LLC | Current | Accepting new patients | |
| Lyons Physical Therapy LLC | Physical Therapist | Current | 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.
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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.