MARISSA LYON (NPI# 1982241931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982241931 |
Entity Type | Individual |
Full Name | MARISSA LYON |
Credential | PT, DPT |
Practice Address |
1274 Congress St Fl 3 Portland ME 04102-2111 |
Practice Telephone | 2078880900 |
Mailing Telephone | 2078880900 |
Enumeration Date | 2019-12-09 |
Last Update Date | 2019-12-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
PT5505 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1274 CONGRESS ST FL 3 |
City | PORTLAND |
State | ME |
Zip Code | 04102-2111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942850854 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-09-13 |
1598306953 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Prosthetic/Orthotic Supplier | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
Find all providers in zip 04102 |
Taxonomy Code | 2251N0400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Neurology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801425269 | Andrea Susan Serdar | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
1992334924 | Mackenzie Root | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-02 |
1396374328 | Jeffrey Schlimgen | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-02 |
1578041661 | Jaime Musgrave | Physical Therapist | 9135 Sw Barnes Rd, Ste 361, Portland, OR 97225-9720 | 2018-08-01 |
1629420534 | Courtney Lewis | Physical Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2016-07-05 |
1205267754 | Carly Lochala | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2013-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245355262 | Benedict Hsin Shen | Physical Therapist | 102 Campus Ave, Lewiston, ME 04240-6019 | 2007-03-20 |
Please comment or provide details below to improve the information on MARISSA LYON.
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.