Active NPI
Sharon Lilly
- Occupational Therapist
- Fuquay Varina, NC
National Provider Identifier
1487050761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0504
- Practice address
- 304 Judd Place Dr
Fuquay Varina, NC 27526-2386 - Phone
- (919) 557-8305
- NPI assigned
- Nov 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0504 | NC | Primary |
Addresses
Primary practice location
304 Judd Place Dr
Fuquay Varina, NC 27526-2386
Mailing address
6320 Deerview Dr
Raleigh, NC 27606-9563
Phone (919) 906-2739
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 |
|---|---|---|---|
| 0504 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shining Stars Therapy, PA | Past | Accepting new patients | |
| Shining Stars Therapy, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Occupational Therapist
- Fuquay Varina, NC
- NPI 1124258785
-
- Developmental Therapist
- Fuquay Varina, NC
- NPI 1245534338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1487050761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 DEERVIEW DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276069563",
"telephone_number": "919-906-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 JUDD PLACE DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262386",
"telephone_number": "919-557-8305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "SHARON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-13",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "0504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.