Individual provider Active NPI

Lyn Carole Harvie, DPT,ATC

  • Physical Therapist
  • Sunrise, FL
National Provider Identifier
1659604494
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24400 Issued in FL
Practice address
9800 West Commerical Blvd
Sunrise, FL 33324
Phone
(954) 475-5500
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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 PT24400 FL Primary

Addresses

Primary practice location

9800 West Commerical Blvd
Sunrise, FL 33324

Mailing address

745 NW 92ND Ave
Plantation, FL 33324-6165
Phone (248) 830-9439

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT24400FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1659604494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 NW 92ND AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333246165",
            "telephone_number": "248-830-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 WEST COMMERICAL BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-475-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVIE",
        "first_name": "LYN",
        "middle_name": "CAROLE",
        "name_prefix": "Dr.",
        "credential": "DPT,ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.