CAMILLE LYON
NPI 1164084455
Occupational Therapist - Gerontology in Saint Louis, MO

Active since July 08, 2019
11960 WESTLINE INDUSTRIAL DR STE 201, SAINT LOUIS, MO 63146(866) 433-9555 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2024, Jan 10, 2020, Jul 8, 2019 (3 updates tracked since 2019).

About Camille Lyon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILLE LYON (NPI 1164084455) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2019017425) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1164084455
Entity TypeIndividualFemale
Primary Taxonomy225XG0600X
Provider Legal NameCAMILLE LYON
Location Address11960 WESTLINE INDUSTRIAL DR STE 201Saint Louis, MO 63146-3209
Mailing Address27130 Hunt DrWright City, MO 63390-4419 · (314) 446-9041
Sole ProprietorNo
Enumeration DateJuly 8, 2019
Last NPPES UpdateJune 12, 20263 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1164084455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · GerontologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XG0600X
License✔ Licensed in MO · 2019017425
Definition
Occupational therapists work with older adults in virtually every setting: assisted living, wellness programs, hospitals, nursing homes, senior centers, clinics and in the home. Occupational therapists bring an understanding of the importance of participation and occupation for overall well-being to those who are experiencing disabling conditions related to aging. The primary overarching goal of occupational therapy services with this population is to maximize independence and participation, thereby enabling an older person to continue to live successfully in his or her chosen environment. Occupational therapists can help older adults by developing strategies to help or maintain safety and well-being, to assist with life transitions, and to compensate for challenges they experience in activities of daily living, instrumental activities of daily living, leisure participation, social participation, and productive activities.
11960 WESTLINE INDUSTRIAL DR STE 201, Saint Louis, MO 63146

Other Names 1

Former Name (1)Camille Fagan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camille Lyon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Camille Lyon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Occupational Therapist
6803 N 68TH PLZ
Omaha, NE 68152
  • Reassigned Medicare billing, Missouri enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO 63146
Physical Therapy Assistant
11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO 63146
Occupational Therapist
11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO 63146
Occupational Therapist
11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO 63146
Speech-Language Pathologist
11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO 63146
Speech-Language Pathologist
11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO 63146
Physical Therapist
11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO 63146
Licensed Practical Nurse
11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO 63146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Lyon's NPI number?

The NPI number for Camille Lyon is 1164084455. It was assigned to this individual provider in the NPPES registry on July 8, 2019. The provider is also known as Camille Fagan.

Where is Camille Lyon located?

Camille Lyon practices at 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146. The listed phone number is (866) 433-9555.

What is Camille Lyon's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Gerontology, with taxonomy code 225XG0600X.

Is Camille Lyon enrolled in Medicare?

Yes. Camille Lyon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Camille Lyon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Lyon reassigns Medicare benefits to Choice Rehabilitation LLC (Omaha, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Camille Lyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Camille Lyon was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.