Individual provider Active NPI

Micheal Lilly, DPT

  • Physical Therapist
  • Charleston, WV
National Provider Identifier
1376341834
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
313 Maccorkle Ave SW Ste 100
Charleston, WV 25303-1207
Phone
(304) 744-5891
NPI assigned
Mar 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

313 Maccorkle Ave SW Ste 100
Charleston, WV 25303-1207

Mailing address

1500 Grand Central Ave Ste 101
Vienna, WV 26105-1079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410001975 WV Practitioner - Physical Therapist in Private Practice 8527582634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Settlement Physical TherapyGroup PAC ID 7113914631, shared by 5 NPIs, 97 clinicians

Practice addresses (Care Compare)

1001 Bridge Rd
Charleston, WV 25314-1305
Phone (304) 759-8428

313 Maccorkle Ave SW
South Charleston, WV 25303-1263
Phone (304) 746-3704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
First Settlement Physical Therapy Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
First Settlement Phycial Therapy Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients

Locations

1001 Bridge Rd
Charleston, WV 25314
Phone (304) 759-8428

240 Washington St
Ravenswood, WV 26164
Phone (304) 273-8071

313 Maccorkle Ave SW
South Charleston, WV 25303
Phone (304) 744-2300

313 Maccorkle Ave SW
Ste 100
South Charleston, WV 25303
Phone (304) 744-5891

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 4

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": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1376341834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GRAND CENTRAL AVE STE 101",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MACCORKLE AVE SW STE 100",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253031207",
            "telephone_number": "304-744-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "MICHEAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.