Andrea R Lyon, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15120 Issued in WI

Practice address

1712 Dunlap Ave Ste 9
Marinette, WI 54143-1709

Phone

(906) 309-0158

Fax

(844) 360-8998

NPI assigned

Jul 13, 2020

Last updated

Aug 12, 2025By the provider in NPPES

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

Other names 1

• Andrea R Olson Former name

Medicare fee-for-service enrollment

Enrolled in WI, MI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lyon Physical Therapy LLC

  dba Lyon Physical Therapy

  • Physical Therapist
  • Wallace, MI
  • NPI 1336883453

  WI

  Medicare reassignment NPD Authorized official
• Lyon Therapy Services LLC

  dba Lyon Physical Therapy LLC

  • Physical Therapist
  • Menominee, MI
  • NPI 1003665605
  NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1699393983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 DUNLAP AVE STE 9",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431709",
            "telephone_number": "906-309-0158",
            "fax_number": "844-360-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 DUNLAP AVE STE 9",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431709",
            "telephone_number": "906-309-0158",
            "fax_number": "844-360-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "OLSON",
            "middle_name": "R",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lincare Inc.
• Stephanie Lynn Lindquist
• Katie Johannah Livingston, MD
• Quentin Garrett Lueck, PHARMD
• Paula Jean Lynn, MS, OTR/L
• Sandra B Macarthur, MD
• Thomas Val Mack, MD
• John Magnin, DDS
• Kathleen Marie Magnin, A.N.P.
• Marissa J Maguire, PA-C

• Physical Therapist in Marinette, WI
• Providers in Marinette, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.