Active NPI
Dan Ross Lillywhite, D.P.T.
- Physical Therapist
- Orem, UT
National Provider Identifier
1649437799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 69687822401
- Practice address
- 980 E 800 N Ste 103
Orem, UT 84097-4261 - Phone
- (801) 226-0599
- Fax
- (801) 226-3145
- NPI assigned
- May 16, 2008
- 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 | 69687822401 | UT | Primary |
Addresses
Primary practice location
980 E 800 N Ste 103
Orem, UT 84097-4261
Mailing address
980 E 800 N Ste 103
Orem, UT 84097-4261
Phone (801) 226-0599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
524 W 300
Suite 201
Provo, UT 84601-2669
Phone (801) 370-9981
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69687822401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fyzical Audiology LLC | 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.
-
- Physical Therapist
- Orem, UT
- NPI 1659397313
-
- Audiologist
- Provo, UT
- NPI 1841819992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1649437799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 E 800 N STE 103",
"city": "OREM",
"state": "UT",
"postal_code": "840974261",
"telephone_number": "801-226-0599",
"fax_number": "801-226-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 E 800 N STE 103",
"city": "OREM",
"state": "UT",
"postal_code": "840974261",
"telephone_number": "801-226-0599",
"fax_number": "801-226-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLYWHITE",
"first_name": "DAN",
"middle_name": "ROSS",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "69687822401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.