Active NPI
Lillian L Kwong, MS, PT
- Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1710054911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305005436
- Practice address
- 225 Clearfield Ave
Virginia Beach, VA 23462-1815 - Phone
- (757) 452-3599
- Fax
- (757) 961-3696
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01414000 | NJ | |
| Physical Therapist | 225100000X | 2305005436 | VA | Primary |
Addresses
Primary practice location
225 Clearfield Ave
Virginia Beach, VA 23462-1815
Mailing address
1044 US Highway 9
Parlin, NJ 08859-1401
Phone (757) 752-1907
Other names 1
- Lillian K Inocente
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01414000 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology of Virginia, PLLC | Current | Accepting new patients | |
| Urology of Virginia, PLLC | Current | Accepting new patients | |
| Home PT, LLC | Physical Therapist | Past | Accepting new patients |
Locations
7185 Harbour Towne Pkwy S
Ste 200
Suffolk, VA 23435
225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459
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.
-
- Urology Physician
- Virginia Beach, VA
- NPI 1982994117
-
- Physical Therapist
- Stuart, FL
- NPI 1497910434
-
- Urology Physician
- Virginia Beach, VA
- NPI 1568250504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1710054911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 US HIGHWAY 9",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088591401",
"telephone_number": "757-752-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CLEARFIELD AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621815",
"telephone_number": "757-452-3599",
"fax_number": "757-961-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWONG",
"first_name": "LILLIAN",
"middle_name": "L",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01414000",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILLIAN",
"last_name": "INOCENTE",
"middle_name": "K",
"credential": "MS,PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.