Amy M. Lilley, PT, GCS

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT1682 Issued in ME

Practice address

121 Holmes Rd
Scarborough, ME 04074-8419

Phone

(207) 756-4659

NPI assigned

Aug 28, 2013

Last updated

Aug 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Amy M. Sullivan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1043644909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HOLMES RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748419",
            "telephone_number": "207-756-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HOLMES RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748419",
            "telephone_number": "207-756-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLEY",
        "first_name": "AMY",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PT, GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "ME",
            "license": "PT1682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SULLIVAN",
            "middle_name": "M.",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Geriatric Physical Therapist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Geriatric Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.