MEDICARE: CHLOE ELIZABETH LYON PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP032761T	NC
2	225100000X	Physical Therapist	P24574	NC
3	225100000X	Physical Therapist	4680	NE

General Provider Information

NPI Number	:	1497581177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE ELIZABETH LYON PT, DPT

Provider Business Mailing Address
First Line	:	2305 LAKESIDE VIEW CT
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-8486
Country	:	US
Telephone Number	:	330-240-4553
Fax Number	:

Provider Business Practice Location Address
First Line	:	2709 BLUE RIDGE RD STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6462
Country	:	US
Telephone Number	:	919-784-4696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2024
Last Update Date	:	03/16/2026

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