Active NPI
Megan Lilly, PT, DPT
- Physical Therapist
- Gainesville, GA
National Provider Identifier
1083497713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016789
- Practice address
- 2360 Murphy Blvd
Gainesville, GA 30504-6002 - Phone
- (770) 535-8372
- NPI assigned
- Aug 16, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016789 | GA | Primary |
Addresses
Primary practice location
2360 Murphy Blvd
Gainesville, GA 30504-6002
Mailing address
360 Quail Pass
Dawsonville, GA 30534-7642
Phone (404) 934-5770
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 |
|---|---|---|---|
| PT016789 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisu of Georgia, Inc | Physical Therapist | Current | Accepting new patients |
Locations
2360 Murphy Blvd
Gainesville, GA 30504
Phone (770) 535-8372
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": "1692144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1083497713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 QUAIL PASS",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305347642",
"telephone_number": "404-934-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 MURPHY BLVD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305046002",
"telephone_number": "770-535-8372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "MEGAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-16",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.