Provider Demographics
NPI:1053552984
Name:JOHNSTON, LYNN BEYER (MSPT)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:BEYER
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:MARIE
Other - Last Name:BEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:PO BOX 5228
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-0405
Mailing Address - Country:US
Mailing Address - Phone:610-359-5640
Mailing Address - Fax:
Practice Address - Street 1:119 E UWCHLAN AVE STE 201
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1293
Practice Address - Country:US
Practice Address - Phone:610-557-8182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
PAPT008328L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADAPT002783OtherPHYSICAL THERAPY LICENSE