Kymes-Lyons Physical Therapy and Sports Performance Center PA

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

PT437 Issued in AR

Legal business name

KYMES-LYONS PHYSICAL THERAPY AND SPORTS PERFORMANCE CENTER PA

Practice address

575 Club Lane
Conway, AR 72032

Phone

(479) 495-6326

Fax

(479) 495-3336

NPI assigned

Jun 25, 2007

Last updated

Apr 20, 2008By 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

Mr. Danny R Lyons, RPT

Title

Owner

Phone

(479) 495-6326

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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.

• Tyson W Kymes, PT

  • Physical Therapist
  • Conway, AR
  • NPI 1003951997
  Medicare reassignment NPD

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1679779920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 CENTER VALLEY RD",
            "address_2": "PO BOX 217",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72811",
            "telephone_number": "479-495-6326",
            "fax_number": "479-495-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 CLUB LANE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "479-495-6326",
            "fax_number": "479-495-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYMES-LYONS PHYSICAL THERAPY AND SPORTS PERFORMANCE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-495-6326",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AR",
            "license": "PT437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kroger Limited Partnership I (Kroger Pharmacy)
• Logan Kucginski
• Heather Kueker, MHPP
• Arrington Beau Kuhn
• Donald Kulbeth, APN
• Tyson W Kymes, PT
• Lab One LLC
• Lab One LLC
• Brandon Labat, MHPP
• Jennifer Labiak, MHPP

• Rehabilitation Clinic/Center in Conway, AR
• Providers in Conway, AR by specialty
• Rehabilitation Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.