Lilly Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 00010335 Issued in WA

Legal business name

LILLY PHYSICAL THERAPY LLC

Practice address

24007 Edmonds Way
Edmonds, WA 98026-9161

Phone

(425) 224-2476

Fax

(425) 224-2612

NPI assigned

Jun 6, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ljiljana Lilly Bojic, PT

Title

Owner

Phone

(425) 224-2476

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie Johnson

  • Physical Therapy Assistant
  • Edmonds, WA
  • NPI 1184084790
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1659784635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24007 EDMONDS WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980269161",
            "telephone_number": "425-224-2476",
            "fax_number": "425-224-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24007 EDMONDS WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980269161",
            "telephone_number": "425-224-2476",
            "fax_number": "425-224-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "BOJIC",
        "authorized_official_first_name": "LJILJANA",
        "authorized_official_middle_name": "LILLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-224-2476",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 00010335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Benjamin Liang, M.D.
• Lice Spies LLC
• Taylor Likes
• Evelina Lilia, LMHCA
• Chelsea Lilleness, RN, BSN, IBCLC
• Huei-Wen Lim, M.D
• Lei Y Lim, MD
• Weiye Lin, DMD
• Skyler K. Lindsley, M.D.
• Katelyn Lanae Olden Lindstrom, LMFT, SUDP

• Physical Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.