Jessica Renee Lyons, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8795 Issued in MA

Practice address

11 Condito Rd
Hingham, MA 02043-1746

Phone

(781) 749-4774

NPI assigned

Aug 5, 2015

Last updated

Aug 5, 2015By 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

• Jessica Renee Peek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1720464373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FEDERAL ST",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021882135",
            "telephone_number": "508-484-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CONDITO RD",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020431746",
            "telephone_number": "781-749-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "8795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PEEK",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda L Lundblad, RN CNS APRN
• Tara Lundie, RN, BSN
• Lunette Hingham PC (Lunette Optic)
• Paula Luoma, OTR/L
• Emma Lynch
• Paul M Mabey
• Lisa Ann Macdonald
• Sharon Marie Macdonald, OTR/L, TVI
• Jacquelyn Macdougall, LMHC
• Kathleen Anne Madaus Foley, LICSW

• Physical Therapy Assistant in Hingham, MA
• Providers in Hingham, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.