Mark David Liley, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012918 Issued in MI

Practice address

1665 Hamilton Rd Ste 100
Okemos, MI 48864-1809

Phone

(517) 349-1110

Fax

(517) 349-6892

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physiotherapy Associates, Inc.

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Waterford, MI
  • NPI 1679645295

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Physiotherapy Associates, Inc.

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Lansing, MI
  • NPI 1033216379
  NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD
• Physiotherapy Associates Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Lansing, MI
  • NPI 1053404921

  Physical Therapist

  NPD (past)
• Physiotherapy Associates Inc

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Okemos, MI
  • NPI 1972600146
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215034327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 HAMILTON RD STE 100",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641809",
            "telephone_number": "517-349-1110",
            "fax_number": "517-349-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 HAMILTON RD STE 100",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641809",
            "telephone_number": "517-349-1110",
            "fax_number": "517-349-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILEY",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30658",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Lewinski, DC
• Ariel Caprice Lewis, FNP
• Life's Phases, LLC
• Light Transitions Therapy PLLC
• Tammy Liikala, LPC
• Lind Psychiatry PLLC
• Lindconn Home Health LLC
• Nichole Lindemier
• Lisa B Whitehead PLLC
• Little Wren Counseling LLC

• Physical Therapist in Okemos, MI
• Providers in Okemos, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.