Mary Lilly

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

8579 Issued in NC

Practice address

2601 Reynolda Rd.
Brighton Gardens of Winston Salem
Winston Salem, NC 27106

Phone

(336) 397-4842

NPI assigned

Aug 19, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1437525813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STADLER PL APT B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102774",
            "telephone_number": "336-337-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 REYNOLDA RD.",
            "address_2": "BRIGHTON GARDENS OF WINSTON SALEM",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-397-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "8579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Home Care Agency LLC
• Lighthouse Home Health Care
• Jesse Jacob Lile, M.A.
• Penny Gayle Liles, LPC-A, CRC
• Alicia Lilly, RN, IBCLC
• Toni Lucinda Lima, NP
• Limitless Health & Wellness Chiropractic PLLC
• Jay'la Lin, PHARMD, MBA
• Jen-Jar Lin, MD
• Shau-Shau Lin

• Occupational Therapy Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.