Active NPI
Lily Simonson, PTA
- Physical Therapy Assistant
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3059
- Practice address
- 557 N Washington St
Janesville, WI 53548-2907 - Phone
- (608) 754-6000
- Fax
- (608) 755-7892
- NPI assigned
- Jul 14, 2020
- Last updated
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3059 | WI | Primary |
Addresses
Primary practice location
557 N Washington St
Janesville, WI 53548-2907
Mailing address
557 N Washington St
Janesville, WI 53548-2907
Phone (608) 754-6000
Other practice location 1
2825 Prairie Ave
Beloit, WI 53511-1844
Phone (608) 363-5500
Other practice location 2
N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone (800) 637-2901
Other practice location 3
10108 74th St
Kenosha, WI 53142-7514
Phone (262) 694-6101
Other practice location 4
217 N Main St
Edgerton, WI 53534-1613
Phone (608) 884-9431
Other practice location 5
2310 1st Center Ave
Brodhead, WI 53520-1937
Phone (608) 897-8664
Other practice location 6
725 S Janesville St
Milton, WI 53563-1775
Phone (608) 868-5800
Other practice location 7
839 N Wisconsin St
Elkhorn, WI 53121-1138
Phone (262) 741-1400
Other practice location 8
507 W Main St
Whitewater, WI 53190-1852
Phone (262) 473-0400
Other practice location 9
3524 E Milwaukee St
Janesville, WI 53546-1626
Phone (608) 756-7100
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Past | Accepting new patients | |
| Mercy Health System Corporation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Beloit Medical Center
- Durable Medical Equipment & Medical Supplies
- Beloit, WI
- NPI 1619000437
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1043828213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482907",
"telephone_number": "608-754-6000",
"fax_number": "608-755-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482907",
"telephone_number": "608-754-6000",
"fax_number": "608-755-7892"
}
],
"practiceLocations": [
{
"address_1": "2825 Prairie Ave",
"address_purpose": "LOCATION",
"city": "Beloit",
"state": "WI",
"postal_code": "535111844",
"country_code": "US",
"telephone_number": "608-363-5500",
"fax_number": "608-363-5539",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "N2950 State Road 67",
"address_purpose": "LOCATION",
"city": "Lake Geneva",
"state": "WI",
"postal_code": "531472655",
"country_code": "US",
"telephone_number": "800-637-2901",
"fax_number": "262-245-2248",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10108 74th St",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531427514",
"country_code": "US",
"telephone_number": "262-694-6101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "217 N Main St",
"address_purpose": "LOCATION",
"city": "Edgerton",
"state": "WI",
"postal_code": "535341613",
"country_code": "US",
"telephone_number": "608-884-9431",
"fax_number": "608-884-7738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2310 1st Center Ave",
"address_purpose": "LOCATION",
"city": "Brodhead",
"state": "WI",
"postal_code": "535201937",
"country_code": "US",
"telephone_number": "608-897-8664",
"fax_number": "608-897-4972",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 S Janesville St",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "WI",
"postal_code": "535631775",
"country_code": "US",
"telephone_number": "608-868-5800",
"fax_number": "608-868-5858",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "839 N Wisconsin St",
"address_purpose": "LOCATION",
"city": "Elkhorn",
"state": "WI",
"postal_code": "531211138",
"country_code": "US",
"telephone_number": "262-741-1400",
"fax_number": "262-741-1401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "507 W Main St",
"address_purpose": "LOCATION",
"city": "Whitewater",
"state": "WI",
"postal_code": "531901852",
"country_code": "US",
"telephone_number": "262-473-0400",
"fax_number": "262-473-0408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3524 E Milwaukee St",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535461626",
"country_code": "US",
"telephone_number": "608-756-7100",
"fax_number": "608-756-7225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMONSON",
"first_name": "LILY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "3059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.