Active NPI
Herbert E Lyken, MSPT
- Physical Therapist
- Stoughton, MA
National Provider Identifier
1689886780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10533
- Practice address
- 525 Washington St
Stoughton, MA 02072-4219 - Phone
- (781) 344-4449
- Fax
- (781) 344-1170
- NPI assigned
- May 3, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10533 | MA | Primary |
Addresses
Primary practice location
525 Washington St
Stoughton, MA 02072-4219
Mailing address
20 Emeline St
Randolph, MA 02368-1917
Phone (781) 223-5287
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10533 | MA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689886780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 EMELINE ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023681917",
"telephone_number": "781-223-5287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 WASHINGTON ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020724219",
"telephone_number": "781-344-4449",
"fax_number": "781-344-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYKEN",
"first_name": "HERBERT",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.