Active NPI
Lily Brock, PT, DPT
- Physical Therapist
- Mount Pleasant, WI
National Provider Identifier
1336021708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17336-24
- Practice address
- 7300 Washington Ave Ste B
Mount Pleasant, WI 53406-6525 - Phone
- (262) 321-6000
- NPI assigned
- Jul 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17336-24 | WI | Primary |
Addresses
Primary practice location
7300 Washington Ave Ste B
Mount Pleasant, WI 53406-6525
Mailing address
2352 N 85TH St
Wauwatosa, WI 53226-1910
Phone (414) 477-5977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100370018 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | lbrock432473@direct.myadvocateaurora.org | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17336-24 | WI | MD | Physical Therapist |
Interoperability endpoints
- lbrock432473@direct.myadvocateaurora.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1336021708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2352 N 85TH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261910",
"telephone_number": "414-477-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 WASHINGTON AVE STE B",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534066525",
"telephone_number": "262-321-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "LILY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-24",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "17336-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100370018",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "7300 Washington Ave Ste B",
"city": "Mount Pleasant",
"state": "WI",
"country_code": "US",
"postal_code": "534066525",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lbrock432473@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7300 Washington Ave Ste B",
"city": "Mount Pleasant",
"state": "WI",
"country_code": "US",
"postal_code": "534066525",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.