Individual provider Active NPI

Lilian Holm, PT

  • Physical Therapist
  • Evanston, IL
National Provider Identifier
1679542476
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070008620 Issued in IL
Practice address
1570 Oak Ave
Ste 101
Evanston, IL 60201-4271
Phone
(847) 208-8063
Fax
(847) 492-0321
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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 070008620 IL Primary

Addresses

Primary practice location

1570 Oak Ave
Ste 101
Evanston, IL 60201-4271

Mailing address

1829 Leland Ave
Evanston, IL 60201-3328
Phone (847) 208-8063

Other names 1

  • Lilian Holm-Drumgole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000363 IL Practitioner - Physical Therapist in Private Practice 2860407624 Practice locations: Evanston, IL

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1570 Oak Ave
Suite 101
Evanston, IL 60201-4271
Phone (847) 208-8063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Institute of Neurosurgery & Neuroresearch Past Accepting new patients
Human Touch Therapeutics, Inc Physical Therapist PastSince Apr 5, 2020 Accepting new patients
Lilian Holm Wellness, LLC Physical Therapist PastSince Apr 5, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1679542476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 LELAND AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013328",
            "telephone_number": "847-208-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 OAK AVE",
            "address_2": "STE 101",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014271",
            "telephone_number": "847-208-8063",
            "fax_number": "847-492-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "LILIAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIAN",
            "last_name": "HOLM-DRUMGOLE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.