Kerry Lydon

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA17317 Issued in FL

Practice address

1935 State Road 436
Winter Park, FL 32792-2244

Phone

(407) 629-9455

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1669028767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 STATE ROAD 436",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 STATE ROAD 436",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922244",
            "telephone_number": "407-629-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDON",
        "first_name": "KERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Counseling Services, Inc.
• Jason Luttrell, D.P.M.
• Luxe Chiropractic LLC
• Christine Luzuriaga, MS, CCC-SLP, BCBA,
• Kaitlin Grace Lydon, MA, BCBA, LBA
• Lyndsey Sutherland DNP PA
• Jesse Lyon
• M & M Counseling LLC
• Daniela Marisol Mabry, OTA
• Terrance Christian Mabry, MD

• Occupational Therapy Assistant in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.