Individual provider Active NPI

Dan Ross Lillywhite, D.P.T.

  • Physical Therapist
  • Orem, UT
National Provider Identifier
1649437799
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
69687822401 Issued in UT
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

Updated by the provider on Sep 12, 2025

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 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

Enrollment IDStateProvider typePAC IDDetails
I20080610000122 UT Practitioner - Physical Therapist in Private Practice 1052481579 Reassigns benefits to 1 organization

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
Orem Sports Medicine Center LLCGroup PAC ID 0941105191, 7 clinicians

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

LicenseStateTypeSpecialty
69687822401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzical Audiology LLC PastSince Apr 17, 2020 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.

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.

Verify at the official NPI Registry.