Active NPI
Kristyn Clay Lyons, PT, DPT
- Physical Therapist
- Clinton, MS
National Provider Identifier
1861019986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6304
- Practice address
- 128 Ellicot Burn
Clinton, MS 39056-6249 - Phone
- (901) 335-1335
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6304 | MS | Primary |
Addresses
Primary practice location
128 Ellicot Burn
Clinton, MS 39056-6249
Mailing address
128 Ellicot Burn
Clinton, MS 39056-6249
Phone (901) 335-1335
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6304 | MS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1861019986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 ELLICOT BURN",
"city": "CLINTON",
"state": "MS",
"postal_code": "390566249",
"telephone_number": "901-335-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 ELLICOT BURN",
"city": "CLINTON",
"state": "MS",
"postal_code": "390566249",
"telephone_number": "901-335-1335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "KRISTYN",
"middle_name": "CLAY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.