Active NPI
Jennifer Lyon, OTR
- Occupational Therapist
- Lone Tree, CO
National Provider Identifier
1679334841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1075156
- Practice address
- 9350 Teddy LN
Lone Tree, CO 80124-2876 - Phone
- (720) 272-9353
- NPI assigned
- Jan 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1075156 | CO | Primary |
Addresses
Primary practice location
9350 Teddy LN
Lone Tree, CO 80124-2876
Mailing address
10198 Silver Maple Cir
Highlands Ranch, CO 80129-5424
Phone (720) 272-9353
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1075156 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1679334841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10198 SILVER MAPLE CIR",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801295424",
"telephone_number": "720-272-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9350 TEDDY LN",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801242876",
"telephone_number": "720-272-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON",
"first_name": "JENNIFER",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "1075156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.