Individual provider Active NPI

Lillian Kathleen Detwiler, P.T.

  • Physical Therapist
  • Royersford, PA
National Provider Identifier
1124072624
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016109 Issued in PA
Practice address
1835 E Ridge Pike Ste 30
Royersford, PA 19468-2818
Phone
(610) 409-5655
Fax
(610) 489-4874
NPI assigned
May 20, 2006
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016109 PA Primary

Addresses

Primary practice location

1835 E Ridge Pike Ste 30
Royersford, PA 19468-2818

Mailing address

730 S Broad St
Lansdale, PA 19446-5211
Phone (267) 663-7767

Other practice location 1

40 Berkshire Ct
Wyomissing, PA 19610-1224
Phone (610) 372-0902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000134 PA Practitioner - Physical Therapist in Private Practice 0840208526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016109PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 7, 2025 Accepting new patients
Healing Touch Pelvic Floor Physical Therapy LLC Physical Therapist CurrentSince Dec 16, 2023 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Aug 17, 2019 Accepting new patients
Regional Womens Health Group LLC Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
Reading Berks Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

1000 Walnut St
Ste 122
Lansdale, PA 19446
Phone (215) 368-1950

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

1610 Medical Dr
Ste 105
Pottstown, PA 19464
Phone (484) 925-0500

2456 W Main St
West Norriton, PA 19403
Phone (610) 630-0101

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1124072624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465211",
            "telephone_number": "267-663-7767",
            "fax_number": "267-222-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E RIDGE PIKE STE 30",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194682818",
            "telephone_number": "610-409-5655",
            "fax_number": "610-489-4874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Berkshire Ct",
            "address_purpose": "LOCATION",
            "city": "Wyomissing",
            "state": "PA",
            "postal_code": "196101224",
            "country_code": "US",
            "telephone_number": "610-372-0902",
            "fax_number": "610-372-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "LILLIAN",
        "middle_name": "KATHLEEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.