Individual provider Active NPI

Nathan J Lilley, PT, MPT, OCS, CSCS

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1598833618
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7235 Issued in CO
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

Updated by the provider on Oct 17, 2014

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 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

IdentifierTypeStateIssuer
77086520MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040916000214 CO Practitioner - Physical Therapist in Private Practice 2163499336 Reassigns benefits to 2 organizations

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
Physio Pro, IncGroup PAC ID 0941394753, 27 clinicians

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

LicenseStateTypeSpecialty
7235COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Pro, Inc. Physical Therapist CurrentSince Nov 1, 2007 Accepting new patients
Panther Physical Therapy, Inc. Physical Therapist CurrentSince Jan 3, 2025 Accepting new patients
Physio Pro, Inc. Physical Therapist CurrentSince Nov 1, 2007 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.

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.

Verify at the official NPI Registry.