Individual provider Active NPI

Kaliee Brooke Lyons, DPT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1720656887
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10873 Issued in LA
Practice address
2115 Dulles Dr
Lafayette, LA 70506-2652
Phone
(337) 981-9182
Fax
(337) 988-3441
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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 10873 LA Primary

Addresses

Primary practice location

2115 Dulles Dr
Lafayette, LA 70506-2652

Mailing address

PO Box 1410
Scott, LA 70583-1410
Phone (337) 981-9182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720001399 LA Practitioner - Physical Therapist in Private Practice 7810390408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in Shreveport, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MTS-LGH Therapy Services LLCGroup PAC ID 1052683174, 29 clinicians

Practice addresses (Care Compare)

2115 Dulles Dr
Lafayette, LA 70506-2652
Phone (337) 981-9182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MTS-LGH Therapy Services LLC Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
McLeod-Trahan-Sheffield Physical Therapy Services, Inc. Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Acadiana Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 2013 Accepting new patients

Locations

1400 Rees St
Ste D
Breaux Bridge, LA 70517
Phone (337) 277-8129

201 W Gloria Switch Rd
Ste H
Lafayette, LA 70507
Phone (337) 233-8080

4212 W Congress St
Ste 3600
Lafayette, LA 70506
Phone (318) 988-2004

2115 Dulles Dr
Lafayette, LA 70506
Phone (337) 261-0507

4402 U S Highway 167
Ste B
Maurice, LA 70555
Phone (337) 516-3160

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1720656887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1410",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705831410",
            "telephone_number": "337-981-9182",
            "fax_number": "337-988-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062652",
            "telephone_number": "337-981-9182",
            "fax_number": "337-988-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KALIEE",
        "middle_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.