Individual provider Active NPI

Cynthia Lyons, P.T., LMT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1982705455
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 6114 Issued in FL
Practice address
6413 Jack Wright Island Rd
Saint Augustine, FL 32092-1910
Phone
(904) 607-9991
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 6114 FL Primary
Massage Therapist 225700000X MA38366 FL

Addresses

Primary practice location

6413 Jack Wright Island Rd
Saint Augustine, FL 32092-1910

Mailing address

6413 Jack Wright Island Rd
Saint Augustine, FL 32092-1910
Phone (904) 607-9991

Other identifiers 1

IdentifierTypeStateIssuer
20-2460084OtherFLTAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 6114FLMDPhysical Therapist
MA38366FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CL Physical Therapy, Inc. Physical Therapist Current Accepting new patients

Organizations & group practices 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1982705455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 JACK WRIGHT ISLAND RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921910",
            "telephone_number": "904-607-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6413 JACK WRIGHT ISLAND RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320921910",
            "telephone_number": "904-607-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "P.T., LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 6114",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA38366",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "20-2460084",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.