NPIMap

Organization Active NPI

Frederick Primary Care Associates, P.a.

  • Physical Medicine & Rehabilitation Physician
  • Frederick, MD
National Provider Identifier
1508667130
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
FREDERICK PRIMARY CARE ASSOCIATES, P.A.
Practice address
604 Solarex CT Unit 104
Frederick, MD 21703-8678
Phone
(240) 215-9023
NPI assigned
Mar 20, 2025
Organization subpart
Yes
Parent organization
FREDERICK PRIMARY CARE ASSOCIATES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Scott R Lilly
Title
Ceo
Phone
(301) 663-6162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

604 Solarex CT Unit 104
Frederick, MD 21703-8678

Mailing address

610 Solarex CT
Frederick, MD 21703-8624

National Provider Directory

National Provider Directory
Tax ID family
Frederick Primary Care11 organizations share this tax ID, including this one
Part of
Frederick Primary Care

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1508667130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOLAREX CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT UNIT 104",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038678",
            "telephone_number": "240-215-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK PRIMARY CARE ASSOCIATES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK PRIMARY CARE ASSOCIATES, P.A.",
        "enumeration_date": "2025-03-20",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-663-6162"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.