Individual provider Active NPI

Lyn Jonson Ballener

  • Physical Therapist
  • Ny, NY
National Provider Identifier
1710314984
Registry record updated Oct 3, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Jun 19, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032523 Issued in NY
Practice address
824 55TH Street (Bet. 8TH & 9TH Ave.)
Brooklyn
Ny, NY 11220
Phone
(718) 686-1733
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 032523 NY Primary

Addresses

Primary practice location

824 55TH Street (Bet. 8TH & 9TH Ave.)
Brooklyn
Ny, NY 11220

Mailing address

64 Tuers Ave
#2C Jersey City
Jersey City, NJ 07306-3250
Phone (201) 850-0619

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
032523NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1710314984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 TUERS AVE",
            "address_2": "#2C JERSEY CITY",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063250",
            "telephone_number": "201-850-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 55TH STREET (BET. 8TH & 9TH AVE.)",
            "address_2": "BROOKLYN",
            "city": "NY",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-686-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLENER",
        "first_name": "LYN",
        "middle_name": "JONSON",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

Verify at the official NPI Registry.