Active NPI
Lillie Thornton Holland, OT
- Occupational Therapist
- Brandon, MS
National Provider Identifier
1013895879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT4237
- Practice address
- 920 Municipal Dr
Brandon, MS 39042-2973 - Phone
- (601) 724-8886
- Fax
- (601) 724-8887
- NPI assigned
- Aug 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT4237 | MS | Primary |
Addresses
Primary practice location
920 Municipal Dr
Brandon, MS 39042-2973
Mailing address
920 Municipal Dr
Brandon, MS 39042-2973
Phone (601) 724-8886
Other practice location 1
119 Colony Crossing Way Ste 820
Madison, MS 39110-6330
Phone (769) 289-2890
Other names 1
- Lillie Thornton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT4237 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Performance Therapy LLC | Past | Accepting new patients | |
| Peak Therapy LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Philadelphia, MS
- NPI 1851427132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1013895879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MUNICIPAL DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422973",
"telephone_number": "601-724-8886",
"fax_number": "601-724-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MUNICIPAL DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422973",
"telephone_number": "601-724-8886",
"fax_number": "601-724-8887"
}
],
"practiceLocations": [
{
"address_1": "119 Colony Crossing Way Ste 820",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "MS",
"postal_code": "391106330",
"country_code": "US",
"telephone_number": "769-289-2890",
"fax_number": "769-289-2891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLAND",
"first_name": "LILLIE",
"middle_name": "THORNTON",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-21",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT4237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILLIE",
"last_name": "THORNTON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.