Lynnette N Droge, PTA, LMT, LBSW

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2107989 Issued in TX

Practice address

560 Prestige Cir
Allen, TX 75002-3438

Phone

(469) 656-9826

Fax

(866) 529-3789

NPI assigned

May 22, 2017

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881121887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 PRESTIGE CIR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023438",
            "telephone_number": "469-656-9826",
            "fax_number": "866-529-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 PRESTIGE CIR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023438",
            "telephone_number": "469-656-9826",
            "fax_number": "866-529-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROGE",
        "first_name": "LYNNETTE",
        "middle_name": "N",
        "credential": "PTA, LMT, LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2107989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph William Driver, MD
• Kelly Duckworth
• Amanda Marston Dueck, MA CCC-SLP
• Eleanor Duelley, BCND, CNS, LDN
• Mary Dunbar
• Karla Montserrat Duncan

• Physical Therapy Assistant in Allen, TX
• Providers in Allen, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.