NPIMap

Organization Active NPI

Dr Lily Therapy Office & Associates

  • Occupational Medicine Clinic/Center
  • Norwalk, CA
National Provider Identifier
1104304500
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
DR LILY THERAPY OFFICE & ASSOCIATES
Practice address
14611 Carmenita Rd
Norwalk, CA 90650
Phone
(562) 600-0138
Fax
(888) 308-0138
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Ms. Michelle Deppe, ERGONOMIST/ ATHLETE
Title
Assist Manager
Phone
(310) 909-6031

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X PT015368 CA
Clinical Exercise PhysiologistGroup: 193200000X MULTI-SPECIALTY GROUP 224Y00000X
In Home Supportive Care Agency 253Z00000X
Physical Therapy Clinic/Center 261QP2000X
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

14611 Carmenita Rd
Norwalk, CA 90650

Mailing address

14611 Carmenita Rd
Norwalk, CA 90650-5228
Phone (562) 600-0138

Other names 1

  • TheraCare-AllTimeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All Time Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10650 Reagan St
Unit 1462
Los Alamitos, CA 90720

14611 Carmenita Rd
Norwalk, CA 90650
Phone (562) 600-0138

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1104304500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14611 CARMENITA RD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906505228",
            "telephone_number": "562-600-0138",
            "fax_number": "888-308-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14611 CARMENITA RD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-600-0138",
            "fax_number": "888-308-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LILY THERAPY OFFICE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "DEPPE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ASSIST MANAGER",
        "authorized_official_telephone_number": "310-909-6031",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ERGONOMIST/ ATHLETE"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT015368",
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraCare-AllTimeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.