KYMES-LYONS PHYSICAL THERAPY AND SPORTS PERFORMANCE CENTER PA (NPI# 1679779920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679779920 |
| Entity Type | Organization |
| Organization Name | KYMES-LYONS PHYSICAL THERAPY AND SPORTS PERFORMANCE CENTER PA |
| Practice Address |
575 Club Lane Conway AR 72032 |
| Mailing Address |
994 Center Valley Rd Po Box 217 Russellville AR 72811 |
| Practice Telephone | 4794956326 |
| Practice Fax Number | 4794953336 |
| Mailing Telephone | 4794956326 |
| Mailing Fax Number | 4794953336 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. DANNY R LYONS (OWNER) |
| Authorized Official Telephone | 4794956326 |
| Authorized Official Credential | RPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
PT437 | AR | Ambulatory Health Care Facilities |
| Street Address |
575 CLUB LANE |
| City | CONWAY |
| State | AR |
| Zip Code | 72032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811425671 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 2310 Highway 378, Conway, SC 29527-4911 | 2017-05-24 |
| 1083071807 | Tegan Hinaman | Clinic/Center | 302 Kiskadee Loop, Unit A, Conway, SC 29526-9771 | 2016-01-25 |
| 1487616504 | Select Physical Therapy Holdings Inc | Clinic/Center | 201 Graduate Rd, Unit 108, Conway, SC 29526-8677 | 2006-04-04 |
| 1609997311 | Kid Success, Inc. | Clinic/Center | 2740 College Avenue, Conway, AR 72034 | 2007-04-02 |
| 1477522217 | Select Physical Therapy Holdings Inc | Clinic/Center | 2425 Dave Ward Dr, Number 103, Conway, AR 72034-8686 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1417512369 | Kids Unlimited Learning Academy of Springdale | Clinic/Center | 1268 Electric Ave, Springdale, AR 72764-7498 | 2019-05-07 |
| 1063912871 | Sygnificare, LLC | Clinic/Center | 10201 W Markham St Ste 105, Little Rock, AR 72205-2180 | 2018-02-19 |
| 1962853358 | Quality Rehab-st. Francis LLC | Clinic/Center | 1800 Stephens Dr, Forrest City, AR 72335-8118 | 2016-06-27 |
| 1588037196 | Wolf Wellness Center, Pllc | Clinic/Center | 23 Parkcliff Dr, Holiday Island, AR 72631-9230 | 2015-11-04 |
| 1740607431 | Kidz Palace Therapy LLC | Clinic/Center | 7123 Interstate 30 Ste 25, Little Rock, AR 72209-3184 | 2014-03-20 |
| 1699114132 | Kids Unlimited Learning Academy of Cabot, Inc. | Clinic/Center | 2792 S 2nd St, Suites B & C, Cabot, AR 72023-7020 | 2013-06-18 |
| 1548569585 | East Arkansas Physical Therapy | Clinic/Center | 3150 N Washington, Forrest City, AR 72335 | 2011-03-16 |
| 1205024908 | In Sight Low Vision Services LLC | Clinic/Center | 601 County Road 155, Eureka Springs, AR 72632-9229 | 2007-10-07 |
| 1457576480 | New Hope Counseling Inc | Clinic/Center | 121 W Industrial Park Rd Ste C, Harrison, AR 72601-2216 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.