Individual provider Active NPI

Lilly Schwartzberg, DPT

  • Physical Therapist
  • Richland, WA
National Provider Identifier
1154009249
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CPO22447T Issued in WA
Practice address
1020 Queensgate Dr
Richland, WA 99352-9123
Phone
(509) 578-5100
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP025043T MO
Physical Therapist 225100000X CPO22447T WA Primary

Addresses

Primary practice location

1020 Queensgate Dr
Richland, WA 99352-9123

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230926003130 MO Practitioner - Physical Therapist in Private Practice 2860846748 Reassigns benefits to 1 organization
I20240320000382 SC Practitioner - Physical Therapist in Private Practice 2860846748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Wisconsin School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4711 Forest Dr
Suite 19
Columbia, SC 29206-3125
Phone (803) 888-7760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CPO22447TWAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Oasis Physical Therapy, PLLC Physical Therapist CurrentSince Jul 9, 2023 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Feb 20, 2024 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Feb 20, 2024 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

211 N 2nd St
Odessa, MO 64076
Phone (816) 230-3280

4711 Forest Dr
Ste 19
Columbia, SC 29206
Phone (803) 888-7760

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

1020 Queensgate Dr
Richland, WA 99352
Phone (509) 578-5100

Organizations & group practices 6

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1154009249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 QUEENSGATE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529123",
            "telephone_number": "509-578-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZBERG",
        "first_name": "LILLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "CP025043T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "CPO22447T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.