Active NPI
Thomas Joshua Lilley, MPAM, MED, PA-C, ATC
- Physician Assistant
- Lynchburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110008846
- Practice address
- 2405 Atherholt Rd
Lynchburg, VA 24501-2184 - Phone
- (434) 485-8517
- Fax
- (434) 485-8594
- NPI assigned
- Feb 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0126001826 | VA | |
| Physician Assistant | 363A00000X | 029349 | NY | |
| Physician Assistant | 363A00000X | 0110008846 | VA | Primary |
Addresses
Primary practice location
2405 Atherholt Rd
Lynchburg, VA 24501-2184
Mailing address
PO Bor 715868
Philadelphia, PA 19171-5868
Phone (804) 915-1910
Other practice location 1
46 Wesley Rd
Daleville, VA 24083-3082
Phone (540) 591-9440
Other practice location 2
14521 Forest Rd Ste D
Forest, VA 24551-4079
Phone (434) 485-8500
Other practice location 3
7374 Oswego Road
Liverpool, NY 13090-3717
Phone (717) 926-5532
Other practice location 4
1409 S Main St
Farmville, VA 23901-2531
Phone (434) 207-5170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13205 Booker T Washington Hwy
Hardy, VA 24101-3947
Phone (540) 719-1815
1935 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441
1955 W Main St
Salem, VA 24153-3109
Phone (540) 387-0441
4035 Electric Rd
Roanoke, VA 24018-8449
434 Peppers Ferry NW Rd
Christiansburg, VA 24073-5780
Phone (540) 382-6000
46 Wesley Rd
Daleville, VA 24083-3082
Phone (540) 591-9440
6415 Peters Creek Rd
Roanoke, VA 24019-4021
Phone (703) 562-2110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126001826 | VA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Healthcare Corporation | Current | Accepting new patients | |
| Carilion Emergency Services, Inc. | Current | Accepting new patients |
Locations
434 Peppers Fry Rd NW
Christiansburg, VA 24073
Phone (540) 382-6000
46 Wesley Rd
Daleville, VA 24083
Phone (540) 591-9440
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
Interoperability endpoints
- tlilley189086@direct.carilionclinic.org
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.
-
dba VelocityCare
- Urgent Care Clinic/Center
- Roanoke, VA
- NPI 1255602694
-
dba Bridgewater College Student Health Center
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1447206370
-
- Durable Medical Equipment & Medical Supplies
- Blacksburg, VA
- NPI 1407667256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1639560907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOR 715868",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191715868",
"telephone_number": "804-915-1910",
"fax_number": "804-968-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 ATHERHOLT RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245012184",
"telephone_number": "434-485-8517",
"fax_number": "434-485-8594"
}
],
"practiceLocations": [
{
"address_1": "46 Wesley Rd",
"address_purpose": "LOCATION",
"city": "Daleville",
"state": "VA",
"postal_code": "240833082",
"country_code": "US",
"telephone_number": "540-591-9440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14521 Forest Rd Ste D",
"address_purpose": "LOCATION",
"city": "Forest",
"state": "VA",
"postal_code": "245514079",
"country_code": "US",
"telephone_number": "434-485-8500",
"fax_number": "434-485-8599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7374 Oswego Road",
"address_purpose": "LOCATION",
"city": "Liverpool",
"state": "NY",
"postal_code": "130903717",
"country_code": "US",
"telephone_number": "717-926-5532",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1409 S Main St",
"address_purpose": "LOCATION",
"city": "Farmville",
"state": "VA",
"postal_code": "239012531",
"country_code": "US",
"telephone_number": "434-207-5170",
"fax_number": "434-485-8599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LILLEY",
"first_name": "THOMAS",
"middle_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "MPAM, MED, PA-C, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-09",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126001826",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "029349",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.