Active NPI
Elizabeth Lilla, OTD
- Pediatric Occupational Therapist
- Omaha, NE
National Provider Identifier
1063207603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1094
- Practice address
- 3706 S 203Rd PLZ
Omaha, NE 68130-6400 - Phone
- (402) 290-9619
- NPI assigned
- Apr 14, 2025
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 1094 | NE | Primary |
Addresses
Primary practice location
3706 S 203Rd PLZ
Omaha, NE 68130-6400
Mailing address
3706 S 203Rd PLZ
Omaha, NE 68130-6400
Phone (402) 290-9619
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 |
|---|---|---|---|
| 1094 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lilla Enterprises Inc | Pediatrics | Current | Accepting new patients |
Locations
3706 S 203rd Plz
Omaha, NE 68130
Phone (402) 290-9619
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1063207603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3706 S 203RD PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681306400",
"telephone_number": "402-290-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3706 S 203RD PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681306400",
"telephone_number": "402-290-9619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLA",
"first_name": "ELIZABETH",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-14",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NE",
"license": "1094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.