Keith Alexander Lyons, MS, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007168 Issued in CT

Practice address

430 Mansfield Rd
Ashford, CT 06278-1416

Phone

(860) 573-4923

NPI assigned

May 19, 2007

Last updated

Nov 7, 2012By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete in-Home Therapy LLC

  • Multi-Specialty Clinic/Center
  • Ashford, CT
  • NPI 1750635967
  Authorized official Same address or phone

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1902014178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MANSFIELD RD",
            "city": "ASHFORD",
            "state": "CT",
            "postal_code": "062781416",
            "telephone_number": "860-573-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MANSFIELD RD",
            "city": "ASHFORD",
            "state": "CT",
            "postal_code": "062781416",
            "telephone_number": "860-573-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KEITH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "MS, RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fusion Learning Center LLC
• Seema Gupta
• Matthew Kenney, OTR/L
• Victoria Lacafta, LMT, MMP
• Cynthia May Lee, LMT
• Aiden Matthews, LMSW
• Susannah Marion Merrill-Bernath, CD(CBI)
• New England Center for Health and Nutrition LLC (Integrated Neurology of Connecticut)
• Henry O'Rourke
• Peter Ralston, LADC

• Physical Therapist in Ashford, CT
• Providers in Ashford, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.