Bradley James Lyons, MSPT COMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9054 Issued in WA

Practice address

15407 E Mission Ave Ste 300
Spokane Valley, WA 99037-8527

Phone

(509) 928-3111

Fax

(509) 928-7662

NPI assigned

Aug 5, 2006

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Healthcare Inc.Group PAC ID 7517857899, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Synergy Healthcare Inc.

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1780741439
  Medicare reassignment Care Compare group NPD
• U.S. Healthworks Medical Group of Washington, PS

  • Urgent Care Clinic/Center
  • Valencia, CA
  • NPI 1407836208
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962411397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23006 E COLT LN",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990199512",
            "telephone_number": "509-922-7752",
            "fax_number": "509-928-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15407 E MISSION AVE STE 300",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378527",
            "telephone_number": "509-928-3111",
            "fax_number": "509-928-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "MSPT COMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "9054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynch, PHARMD
• Keira Ivy Lynch
• Kelly Nicole Lynch, MPT
• Jenny Lynn
• Kellie J. Lynne, SUDPT
• Joseph Lyons, LICSW
• Theresa G Lystad, L.M.P.
• Lisa Machado, MSPT
• Michelle Macharia
• Alan Machtmes, PTA/LMP

• Physical Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.