Provider Demographics
NPI:1821212192
Name:LYONS-KHADPE, NAYA MARGARET (DPT)
Entity Type:Individual
Prefix:MS
First Name:NAYA
Middle Name:MARGARET
Last Name:LYONS-KHADPE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:NAYA
Other - Middle Name:MARGARET
Other - Last Name:LYONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4500 SAN PABLO RD S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-1865
Mailing Address - Country:US
Mailing Address - Phone:904-953-2000
Mailing Address - Fax:
Practice Address - Street 1:180 FORT WASHINGTON AVE
Practice Address - Street 2:RM 170
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3722
Practice Address - Country:US
Practice Address - Phone:212-305-8439
Practice Address - Fax:212-342-5708
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33368174400000X
PAPT017150174400000X
NY033480225100000X
FLPT31133225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist