Staci K Lyons, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008095 Issued in WA

Practice address

23925 225TH Way SE Ste B
Maple Valley, WA 98038-5233

Phone

(425) 433-0123

Fax

(425) 433-0733

NPI assigned

Oct 27, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pinnacle Therapy Group

  dba Pinnacle Physical Therapy

  • Physical Therapist
  • Maple Valley, WA
  • NPI 1225116916
  Authorized official Same address or phone

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700962594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23925 225TH WAY SE STE B",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385233",
            "telephone_number": "425-433-0123",
            "fax_number": "425-433-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23925 225TH WAY SE STE B",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385233",
            "telephone_number": "425-433-0123",
            "fax_number": "425-433-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "STACI",
        "middle_name": "K",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luna Healthcare, LLC (Sonus Hearing Care Professionals)
• Luna Healthcare, LLC (Sonus Hearing Care Professionals)
• Luna Soul Psychotherapy
• Darynn Lung
• Cristopher Lutz
• Stephanie Macphail, LMP
• Jenna Noelle Madeja, DO
• Lawrence J Madewell, MD
• Jaya Suneja Mallik
• Morgan Jenae Malnati, COTA/L

• Physical Therapist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Physical Therapist in Washington

• 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.

Verify at the official NPI Registry.