Individual provider Active NPI

Catherine Lyons, DPT

  • Physical Therapist
  • Munster, IN
National Provider Identifier
1972635563
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002866A Issued in IN
Practice address
730 45TH St
Munster, IN 46321-2818
Phone
(219) 924-3300
Fax
(219) 836-0570
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05002866A IN Primary

Addresses

Primary practice location

730 45TH St
Munster, IN 46321-2818

Mailing address

730 45TH St
Munster, IN 46321-2818
Phone (219) 924-3300

Other practice location 1

9050 Columbia Ave
Munster, IN 46321-2905
Phone (219) 836-0193

Other identifiers 1

IdentifierTypeStateIssuer
000000485099OtherINANTHEM

Other names 1

  • Catherine L Prendergast Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051101000569 IN Practitioner - Physical Therapist in Private Practice 0143247890 Reassigns benefits to 1 organization
I20220105001665 IL Practitioner - Physical Therapist in Private Practice 0143247890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution PTWL LLCGroup PAC ID 7719115617, 42 clinicians

Practice addresses (Care Compare)

1436 W Fullerton Ave
Chicago, IL 60614-2031
Phone (312) 878-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05002866AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Dec 31, 2022 Accepting new patients
Revolution PTWL LLC Physical Therapist CurrentSince Sep 30, 2021 Accepting new patients
Orthopaedic Specialists of Northwest Indiana PC CurrentSince Jul 1, 2019 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Dec 31, 2022 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients
Orthopedic Specialists of Northwest Indiana LLC Past Accepting new patients
Community Care Network Inc Past Accepting new patients

Locations

3418 S Halsted St
Chicago, IL 60608
Phone (773) 337-7627

3168 N Broadway St
Chicago, IL 60657
Phone (312) 586-7977

845 N Michigan Ave
Chicago, IL 60611
Phone (312) 654-2154

4851 N Milwaukee Ave
Chicago, IL 60630
Phone (773) 241-7350

205 N Wells St
Chicago, IL 60606
Phone (312) 957-8882

845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255

720 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 730-8456

2200 Waukegan Rd
Glenview, IL 60025
Phone (312) 475-1893

1125 Westgate St
Oak Park, IL 60301
Phone (708) 848-0040

2900 Foxfield Rd
Ste 102
St Charles, IL 60174
Phone (630) 209-1960

28 N Cass Ave
Westmont, IL 60559
Phone (630) 435-1800

730 45th St
Munster, IN 46321
Phone (219) 922-3016

10200 Wicker Ave
#1
Saint John, IN 46373
Phone (219) 365-6728

Interoperability endpoints

  • Direct secure messaging: clyons@osnwi1911.srs-direct.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1972635563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212818",
            "telephone_number": "219-924-3300",
            "fax_number": "219-836-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212818",
            "telephone_number": "219-924-3300",
            "fax_number": "219-836-0570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9050 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212905",
            "country_code": "US",
            "telephone_number": "219-836-0193",
            "fax_number": "219-836-0570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "CATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002866A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000485099",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "PRENDERGAST",
            "middle_name": "L",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.