Lillian Rose Connor, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

186254 Issued in AK

Practice address

601 E Pioneer Ave Ste 218
Homer, AK 99603-7694

Phone

(907) 235-7473

NPI assigned

Jan 17, 2022

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sphilpott@summitptalaska.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Physical Therapy, Inc.

  • Physical Therapist
  • Homer, AK
  • NPI 1487157665
  Medicare reassignment

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1255082608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996030779",
            "telephone_number": "907-399-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E PIONEER AVE STE 218",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037694",
            "telephone_number": "907-235-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "LILLIAN",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "186254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sphilpott@summitptalaska.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "601 E Pioneer Ave Ste 218",
            "city": "Homer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996037694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• City of Homer
• Bobbi Moore Cleary, M.S., L.P.C.
• Jeanne Clifford
• Clinic of Chiropractic Health, LLC
• Megan Connell, RBT
• Michael J Connors, O.D.
• Sean Conway
• Cook Inlet Council on Alcohol and Drug Abuse
• Cook Inlet Council on Alcohol and Drug Abuse
• Christina Cooper

• Physical Therapy Assistant in Homer, AK
• Providers in Homer, AK by specialty
• Physical Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.