Active NPI
Katherine Lilley, PT
- Physical Therapist
- Farmville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11106
- Practice address
- 1575 Scott Dr
Farmville, VA 23901-2662 - Phone
- (434) 392-8806
- NPI assigned
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32336 | FL | |
| Physical Therapist | 225100000X | 2305209825 | VA | |
| Physical Therapist | 225100000X | 11106 | TN | Primary |
Addresses
Primary practice location
1575 Scott Dr
Farmville, VA 23901-2662
Mailing address
104 Watson Rd
Springfield, TN 37172-4510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32336 | FL | MD | Physical Therapist |
| 11106 | TN | MD | Physical Therapist |
| 2305209825 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fyzbiz, LLC | Physical Therapist | Current | Accepting new patients |
Locations
25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184
13010 Metro Pkwy
Fort Myers, FL 33966
Phone (239) 561-1177
18070 S Tamiami Trl
Ste 15
Fort Myers, FL 33908
Phone (239) 344-4448
12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027
18900 N Tamiami Trl
Ste A5
North Ft Myers, FL 33903
Phone (239) 451-4922
Organizations & group practices 1
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": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1225402803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WATSON RD",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371724510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 SCOTT DR",
"city": "FARMVILLE",
"state": "VA",
"postal_code": "239012662",
"telephone_number": "434-392-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLEY",
"first_name": "KATHERINE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "32336",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209825",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.