Individual provider Active NPI

Sheila R Jones-Lilley, O.T./L

  • Physical Rehabilitation Occupational Therapist
  • San Bernardino, CA
National Provider Identifier
1275060089
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
5228 Issued in CA
Practice address
4795 San Miguel Ave
San Bernardino, CA 92407-6878
Phone
(951) 317-3297
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 5228 CA Primary

Addresses

Primary practice location

4795 San Miguel Ave
San Bernardino, CA 92407-6878

Mailing address

4795 San Miguel Ave
San Bernardino, CA 92407-6878
Phone (951) 317-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170830002266 CA Practitioner - Occupational Therapist in Private Practice 7618240466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Total Care Physical Therapy IncGroup PAC ID 9830341767, 3 clinicians

Practice addresses (Care Compare)

12139 Mount Vernon Ave
Suite 110
Grand Terrace, CA 92313-5500
Phone (909) 370-3396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Physical Therapy Inc. CurrentSince Jul 16, 2017 Accepting new patients

Locations

12139 Mount Vernon Ave
Ste 110
Grand Terrace, CA 92313
Phone (909) 370-3396

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1275060089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 SAN MIGUEL AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076878",
            "telephone_number": "951-317-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 SAN MIGUEL AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924076878",
            "telephone_number": "951-317-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-LILLEY",
        "first_name": "SHEILA",
        "middle_name": "R",
        "credential": "O.T./L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.