Individual provider Active NPI

Lynn B Steenberg, PT, ATC

  • Physical Therapist
  • East Syracuse, NY
National Provider Identifier
1659328946
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005623-1 Issued in NY
Practice address
6319 Fly Rd
Suite 3
East Syracuse, NY 13057-9357
Phone
(315) 410-6200
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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 005623-1 NY Primary

Addresses

Primary practice location

6319 Fly Rd
Suite 3
East Syracuse, NY 13057-9357

Mailing address

6319 Fly Rd
Suite 3
East Syracuse, NY 13057-9357
Phone (315) 410-6200

Other identifiers 2

IdentifierTypeStateIssuer
005623-1OtherNYPHYSICAL THERAPY LICENSE
000222-0OtherNYATHLETIC TRAINER CERT

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

LicenseStateTypeSpecialty
005623NYMDMental Health Counselor
005623-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1659328946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 FLY RD",
            "address_2": "SUITE 3",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579357",
            "telephone_number": "315-410-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 FLY RD",
            "address_2": "SUITE 3",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579357",
            "telephone_number": "315-410-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENBERG",
        "first_name": "LYNN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "005623-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "005623-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER CERT",
            "identifier": "000222-0",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.