Jared Lyon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2000 Riveredge Pkwy
Atlanta, GA 30328-4694

Phone

(770) 688-1000

NPI assigned

Mar 17, 2025

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1932909264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 PEACHTREE DUNWOODY RD APT 522",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RIVEREDGE PKWY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284694",
            "telephone_number": "770-688-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "JARED",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lynn
• Morgan Henry Lynn, CRNA
• Thaddeus Kedron Lynn, M.D.
• Liana Marie Lynskey, OD
• George M Lyon, M.D.
• Tabitha Lyon, MD
• Ashley Elizabeth Lyons, MS, OTR/L
• Charles B Lyons, D.O.
• Cierra Lyons
• Hannah Lyons

• Physical Therapy Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.