Lymphatic Therapy Services Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

LYMPHATIC THERAPY SERVICES INC

Practice address

3560 S Jones Blvd
Las Vegas, NV 89103-1115

Phone

(702) 367-6015

Fax

(702) 367-0614

NPI assigned

Feb 24, 2007

Last updated

Oct 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joanne Marie Matz, OTRNPI 1093831299

Title

President

Phone

(702) 367-6015

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanne Marie Matz, OTR

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1093831299
  Authorized official Same address or phone
• Shelley Bolor, OT

  • Occupational Therapist
  • Las Vegas, NV
  • NPI 1477959765
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1659407856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031115",
            "telephone_number": "702-367-6015",
            "fax_number": "702-367-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031115",
            "telephone_number": "702-367-6015",
            "fax_number": "702-367-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHATIC THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "MATZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-367-6015",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003402377",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra M Lyman, LCSW
• Maximilian Stephen Lymangrover
• Willena Lymon
• Lymphacare Inc
• Lymphatic Therapy
• Lymphedema and Medical Supplies LLC
• Marguerite Lynall
• Monica Lynn Lynam, APRN-C
• Andrea Leann Lynch
• Cheyanne Aleah Lynch

• Rehabilitation Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.