Lillie Nelson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6239 Issued in MD

Practice address

23000 Moakley St Ste 102
Leonardtown, MD 20650-2916

Phone

(301) 475-5555

Fax

(301) 475-8535

NPI assigned

Aug 13, 2026

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1669397998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23000 MOAKLEY ST STE 102",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502916",
            "fax_number": "301-475-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23000 MOAKLEY ST STE 102",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502916",
            "telephone_number": "301-475-5555",
            "fax_number": "301-475-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LILLIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "6239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anand Nath, MD
• Sam Theyyan Nathan, BS/PHARMACY
• National Rehabilitation Hospital Inc
• Joyce W Neal, M.D.
• Catherine Ingard Negri, MD
• Dana Marie Nichols, PTA
• Bharadwaj Nivarthi, MD
• Amber Noegel, LGPC
• Laura Lindsey North, FNP-C
• Valinda R Nwadike, M.D.

• Physical Therapy Assistant in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.