Kiersten Lynn, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

722 S Sunset Ave
Roswell, NM 88203-2800

Phone

(505) 349-0332

Fax

(505) 349-0337

NPI assigned

Mar 23, 2017

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

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Reactive Physical Therapy

  • Physical Therapist
  • Roswell, NM
  • NPI 1710640024
  Medicare reassignment NPD Authorized official
• Sentry Home Health Care LLC

  • Home Health Agency
  • Roswell, NM
  • NPI 1538828835

  Physical Therapist

  NPD

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1700317583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N BROWN RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882018853",
            "telephone_number": "575-208-8575",
            "fax_number": "505-349-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S SUNSET AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882032800",
            "telephone_number": "505-349-0332",
            "fax_number": "505-349-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "KIERSTEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Renee Lusk
• Luxe Psychiatric and Wellness Services LLC
• Thuy Ly, OTR/L
• Arturo Lynch
• Christopher Mathew Lynn, CRNA
• Lorena A Lyske-Acosta
• Bao Ma
• Corey Macdougal
• Elizabeth Macias, LCSW
• Jose Macias

• Physical Therapist in Roswell, NM
• Providers in Roswell, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.