Healthcare Provider Details

I. General information

NPI: 1649214156
Provider Name (Legal Business Name): JENNIFER LEIGH LYONS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER LEIGH ROMANO-JOSEPH DPT

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 FALL RIVER AVE
SEEKONK MA
02771-5931
US

IV. Provider business mailing address

4 RICHMOND SQ STE 200
PROVIDENCE RI
02906-5117
US

V. Phone/Fax

Practice location:
  • Phone: 508-231-5944
  • Fax: 401-270-0118
Mailing address:
  • Phone: 401-433-4172
  • Fax: 401-433-0612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT02728
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number007777
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL19096
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: