Lyle Daniel Dsouza, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3720 Issued in NV

Practice address

20 West St
Fernley, NV 89408-9799

Phone

(775) 575-5508

NPI assigned

Dec 26, 2019

Last updated

Dec 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hull Physical Therapy LLCGroup PAC ID 7012400732, 4 clinicians

Fernley Physical Therapy IncGroup PAC ID 7416224290, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ldsouza@llu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fernley Physical Therapy, Inc.

  • Physical Therapist
  • Fernley, NV
  • NPI 1942741517

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Hull Physical Therapy LLC

  dba Fernley Physical Therapy

  • Physical Therapist
  • Fernley, NV
  • NPI 1669350112
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1699314583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WEST ST",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089799",
            "telephone_number": "775-575-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEST ST",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089799",
            "telephone_number": "775-575-5508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Plumas St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895094515",
            "country_code": "US",
            "telephone_number": "775-829-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DSOUZA",
        "first_name": "LYLE DANIEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NV",
            "license": "3720",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldsouza@llu.edu",
            "affiliation": "N",
            "address_1": "950 Berrum Ln Apt 6",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895098500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cherish Irulan Davis
• Glenda Dazey
• Ashley Rae Delgado, LCSW
• Tredea R Detrick
• James Robert Dexter, PHARMD, AE-C
• Julie Marie Dums, R.N.
• Christine Edwards, CADC-I
• Savanah Spring Egbert, PHARM.D.
• Jeremy Thomas Einowski, DOCTOR OF OPTOMETRY
• Justine Enochs, MFT-I

• Physical Therapist in Fernley, NV
• Providers in Fernley, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.