Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nathaniel Gage Lyons, PT, DPT

Individual provider Physical Therapist · NPI 1942598214

Nathaniel Gage Lyons, PT, DPT is a Physical Therapist in Private Practice in Normal, Illinois. Qualified in 2011, 15 years ago. Practices with Orthopedic and Shoulder Center S C, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2200 Fort Jesse Rd Ste 250
Normal, IL 61761-6286
Phone: (309) 888-9800
Fax: (866) 888-9198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070018612 (IL)

Record details

NPI number1942598214
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 20, 2011
Last updated in NPPESJuly 20, 2011
Mailing address2200 Fort Jesse Rd, Suite 250, Normal, IL 61761-6286

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Orthopedic And Shoulder Center S C — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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