Elizabeth Anne Lyen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001281 Issued in GA

Practice address

150 Hospital Cir
Canton, GA 30114-3209

Phone

(770) 479-5648

NPI assigned

Feb 28, 2012

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

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1679847289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4684 NORMAN DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441332",
            "telephone_number": "770-924-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HOSPITAL CIR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143209",
            "telephone_number": "770-479-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYEN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "001281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Denise Luna
• Yong Qiao Luo, O.M.D.
• Stephanie Lurate, DC
• Ashley Lutes
• Luxottica of America Inc
• Kathryn Lynn Lynaugh
• Mary-Katherine Lynch, MD
• Tian Ma, M.D.
• Danielle Mabeus, LPC
• Bart A Macdonald, M.D.

• Physical Therapy Assistant in Canton, GA
• Providers in Canton, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.