Robin Douglas Lyons, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

3944 N Mississippi Ave
Portland, OR 97227-1163

Phone

(503) 517-8222

NPI assigned

Aug 16, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bridgit Beasley PC

  • Acupuncturist
  • Portland, OR
  • NPI 1952568214

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1982215562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 N VAN HOUTEN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972036071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 N MISSISSIPPI AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271163",
            "telephone_number": "503-517-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "ROBIN",
        "middle_name": "DOUGLAS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "blueskyportland.janeapp.com",
            "affiliation": "N",
            "address_1": "3944 N Mississippi Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972271163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathanael Lyons, RN
• Pamela Lyons, LMT
• Patrick Lyons
• Patrick Gerard Lyons Jr., MD
• Rebecca C Lyons, PT, DPT
• Samantha Darlene Lyons, MD
• Toby Lyons, LCSW
• Nina Lyski, LMT
• Eric Wade Lysne, CADC-R, CRM1
• Monica Ann Lyster, RDH, BA

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.