Lily C. Van Halen, L.M.T.

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA 60605 Issued in FL

Practice address

1826 NW 10TH St
Gainesville, FL 32609-3463

Phone

(310) 908-1173

NPI assigned

Oct 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1144520255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358303",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326358303",
            "telephone_number": "310-908-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 NW 10TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093463",
            "telephone_number": "310-908-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HALEN",
        "first_name": "LILY",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA 60605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Scott Van Auken
• Thomas Richard Van Den Abell, PH.D.
• Xikira Van Der Laan, BCABA
• Christine Van Dillen, MD
• Baylee Van Doran
• Jonathan Paul Van Name, MD
• Johan Van Nispen
• Jenna Van Sciver, OTR/L
• Jessica Van Vliet, DMD
• Chelsy Elizabeth Van Winkle, PA-C

• Mechanotherapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.