Candace L Lillibridge, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1060820 Issued in TX

Practice address

700 Town & Country Blvd
Suite 2490
Houston, TX 77024

Phone

(832) 658-3150

Fax

(713) 722-7051

NPI assigned

Feb 24, 2020

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1154955664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W BROOKLAKE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773208",
            "telephone_number": "281-558-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TOWN & COUNTRY BLVD",
            "address_2": "SUITE 2490",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "832-658-3150",
            "fax_number": "713-722-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIBRIDGE",
        "first_name": "CANDACE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1060820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilies & Brambles, Inc
• Lilies With Love
• Nesi Lillard, LPC-S
• Heather Lillemoe, MD
• Lillian Howard, M.D., P.a.
• Lilly Brook Trading LLC
• Susan Lilly, PT
• Taylor Lilly, RN
• Lilly'S Express Transport, LLC
• Lilly'S Hands Inc

• Physical Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.