Active NPI
Nathan J Lilley, PT, MPT, OCS, CSCS
- Physical Therapist
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7235
- Practice address
- 3801 E Florida Ave
#330
Denver, CO 80210-2571 - Phone
- (303) 370-2670
- Fax
- (303) 370-2696
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7235 | CO | Primary |
Addresses
Primary practice location
3801 E Florida Ave
#330
Denver, CO 80210-2571
Mailing address
3801 E Florida Ave
#330
Denver, CO 80210-2571
Phone (303) 370-2670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77086520 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 E Florida Ave
330 Evolution PT
Denver, CO 80210-2571
Phone (303) 370-2670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7235 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physio Pro, Inc. | Physical Therapist | Current | Accepting new patients |
| Panther Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Physio Pro, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
4601 Quebec St
Ste C10
Denver, CO 80216
Phone (720) 776-7520
3801 E Florida Ave
Ste 330
Denver, CO 80210
Phone (303) 370-2670
393 Washington Ave
Unit B
Golden, CO 80403
Phone (720) 307-7707
5935 S Zang St
Unit 9
Littleton, CO 80127
Phone (303) 979-5511
Organizations & group practices 3
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.
-
- Physical Therapist
- Denver, CO
- NPI 1710185830
-
- Physical Therapist
- Littleton, CO
- NPI 1679502306
-
- Physical Therapist
- Golden, CO
- NPI 1104573666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1598833618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 E FLORIDA AVE",
"address_2": "#330",
"city": "DENVER",
"state": "CO",
"postal_code": "802102571",
"telephone_number": "303-370-2670",
"fax_number": "303-370-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 E FLORIDA AVE",
"address_2": "#330",
"city": "DENVER",
"state": "CO",
"postal_code": "802102571",
"telephone_number": "303-370-2670",
"fax_number": "303-370-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLEY",
"first_name": "NATHAN",
"middle_name": "J",
"credential": "PT, MPT, OCS, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "7235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77086520",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.