Nathaniel Gage Lyons, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018612 Issued in IL

Practice address

2200 Fort Jesse Rd
Suite 250
Normal, IL 61761-6286

Phone

(309) 888-9800

Fax

(866) 888-9198

NPI assigned

Jul 20, 2011

Last updated

Jul 20, 2011By the provider in NPPES

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

Other names 1

• Nathaniel G. Lyons Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Shoulder Center S CGroup PAC ID 9537344403, 6 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopedic & Shoulder Center, S.C.

  • Orthopaedic Surgery Physician
  • Normal, IL
  • NPI 1437453073
  Medicare reassignment Care Compare group NPD
• Orthopedic & Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Normal, IL
  • NPI 1972611044
  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1942598214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE RD",
            "address_2": "SUITE 250",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616286",
            "telephone_number": "309-888-9800",
            "fax_number": "866-888-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE RD",
            "address_2": "SUITE 250",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616286",
            "telephone_number": "309-888-9800",
            "fax_number": "866-888-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "NATHANIEL",
        "middle_name": "GAGE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHANIEL",
            "last_name": "LYONS",
            "middle_name": "G.",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Molly Lundy, M.D.
• Robert Neil Lusk, PH.D.
• Denise Lynn Lux, AU.D.
• Robert Lynall, ATC
• Rebecca Tomara Lynn, LCPC, CADC, CCTP-II
• Kara Lyn Mace
• Pamela Madden, FNP
• Elizabeth Anne Madlem, APRN, CNP
• Madhavi Madugula, M.D.
• Janine Maere, MD

• Physical Therapist in Normal, IL
• Providers in Normal, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.