MRS. LYNN MARIE DISTASIO LPT
NPI 1821164393
Physical Therapist in Plains, PA

Active since November 28, 2006
1086 ROUTE 315, PLAINS, PA 18702(570) 823-7761(570) 822-8033 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Lynn Marie Distasio Lpt NPPES

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

MRS. LYNN MARIE DISTASIO LPT (NPI 1821164393) is an individual physical therapist in Plains, Pennsylvania, licensed in Pennsylvania (PT006913L) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1821164393
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. LYNN MARIE DISTASIOCredential: LPT
Location Address1086 ROUTE 315Plains, PA 18702
Mailing Address1086 Route 315, Pro Rehabilitation ServicesPlains, PA 18702 · (570) 823-7761 · Fax (570) 822-8033
Fax(570) 822-8033
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821164393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in PA · PT006913L
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1086 ROUTE 315, Plains, PA 18702

Other Names 1

Other Name (5)Lynn Marie Butczynski Lpt

Other Identifiers 7

Other0661771Blue Shield
Other813831First Priority
Other442539Health America Assurance
Other815826First Priority
Other397908Health America Assurance
Other076541First Priority
Other442518Health America Assurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lynn Marie Distasio Lpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Lynn Distasio reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
1086 ROUTE 315
Plains, PA 18702
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 48 clinicians in this Medicare group
Physical Therapist
106 ROTARY DRIVE, VALMONT INDUSTRIAL PARK
W Hazleton, PA 18202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 49 clinicians in this Medicare group
Physical Therapist
693 MAIN ST
New Milford, PA 18834
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 48 clinicians in this Medicare group
Physical Therapist
87 OXFORD ST
Hanover, PA 18706
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 48 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 16

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

Physical Therapist
1086 ROUTE 315
PLAINS, PA 18702
Physical Therapist (Orthopedic)
1086 ROUTE 315
PLAINS, PA 18702
Physical Therapist
1086 ROUTE 315
PLAINS, PA 18702
Physical Therapist
1086 ROUTE 315
PLAINS, PA 18702
Physical Therapist
1086 ROUTE 315, PRO REHABILITATION SERVICES
PLAINS, PA 18702
Physical Therapist
1086 ROUTE 315, PRO REHABILITATION SERVICES
PLAINS, PA 18702
Physical Therapist
1086 ROUTE 315
PLAINS, PA 18702
Physical Therapist
1086 ROUTE 315, PRO REHABILITATION SERVICES
PLAINS, PA 18702

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 Lynn Distasio's NPI number?

The NPI number for Lynn Distasio is 1821164393. It was assigned to this individual provider in the NPPES registry on November 28, 2006. The provider is also known as Lynn Marie Butczynski Lpt.

Where is Lynn Distasio located?

Lynn Distasio practices at 1086 Route 315, Plains, PA 18702. The listed phone number is (570) 823-7761.

What is Lynn Distasio's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Lynn Distasio enrolled in Medicare?

Yes. Lynn Distasio is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lynn Distasio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Distasio reassigns Medicare benefits to 4 organizations: Steffie Enterprises, Inc (Plains, PA), Derek Enterprises LLC (W Hazleton, PA), Dylan Rc Enterprises Inc (New Milford, PA) and Alycam Inc (Hanover, PA). Each 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 Lynn Distasio'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 Lynn Distasio was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.