Active NPI
Kelly Lynn Lashley, PT
- Physical Therapist
- Nazareth, PA
National Provider Identifier
1699893743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016682
- Practice address
- Gracedale Avenue
Nazareth, PA 18064 - Phone
- (610) 746-1909
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 | PT016682 | PA | Primary |
Addresses
Primary practice location
Gracedale Avenue
Nazareth, PA 18064
Mailing address
461 Hemlock LN
Nazareth, PA 18064-8550
Phone (610) 837-3062
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016682 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699893743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 HEMLOCK LN",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180648550",
"telephone_number": "610-837-3062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GRACEDALE AVENUE",
"city": "NAZARETH",
"state": "PA",
"postal_code": "18064",
"telephone_number": "610-746-1909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASHLEY",
"first_name": "KELLY",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nazareth, PA
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.