Christina Nicole Lillard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4056 Issued in OK

Practice address

511 N Monte Vista St
The Performance Center, PLLC
Ada, OK 74820-4611

Phone

(580) 436-3633

Fax

(580) 436-2977

NPI assigned

Jan 16, 2008

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

Other names 1

• Christina Nicole Smith Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy in Motion of Oklahoma LLCGroup PAC ID 6204250590, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Therapy in Motion of Oklahoma LLC

  • Physical Therapist
  • Norman, OK
  • NPI 1588280952
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1346426707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N MONTE VISTA ST",
            "address_2": "THE PERFORMANCE CENTER, PLLC",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204611",
            "telephone_number": "580-436-3633",
            "fax_number": "580-436-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N MONTE VISTA ST",
            "address_2": "THE PERFORMANCE CENTER, PLLC",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204611",
            "telephone_number": "580-436-3633",
            "fax_number": "580-436-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLARD",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "SMITH",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Life&Health Protect
• Lighthouse Behavioral Wellness Centers
• Lighthouse Behavioral Wellness Centers
• Lighthouse Behavioral Wellness Centers
• Lighthouse Behavioral Wellness Centers (Ada URC)
• Lisa Van Triest-Peaden LCSW, Inc., P.C.
• Lauren Little Axe, PA
• James Wilson Little, D.PH.
• Jolene Jessica Lobo
• Virginia Loch

• Physical Therapist in Ada, OK
• Providers in Ada, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.