Desirae Lyall, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61105476 Issued in WA

Practice address

299 Bradley Blvd Ste C
Richland, WA 99352-4691

Phone

(509) 713-7555

Fax

(509) 783-6151

NPI assigned

Nov 5, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Raise the Bar Physical Therapy and Wellness, PLLC

  • Physical Therapist
  • Pasco, WA
  • NPI 1922812585
  NPD Authorized official
• Peak Performance Physical Therapy, PLLC

  • Rehabilitation Chiropractor
  • Richland, WA
  • NPI 1851800742
  NPD

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1922609882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 ROAD 84 PL",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993017706",
            "telephone_number": "509-492-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 BRADLEY BLVD STE C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524691",
            "telephone_number": "509-713-7555",
            "fax_number": "509-783-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYALL",
        "first_name": "DESIRAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61105476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lundgreen, RDH
• Lynn D Lundrigan, DC
• Carmela Del Rosario Luper, MEDICAL INTERPRETER
• Deborah Mae Lusch, RN
• Lustig Health & Wellness Center
• Lycan Counseling, PLLC
• Kimberly Lycan, LMHC
• Keefe Lynch, DPT
• Melissa Machowicz
• Ivi Macias, CBT

• Physical Therapist in Richland, WA
• Providers in Richland, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.