Lilac City Physical Therapy & Sports Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LILAC CITY PHYSICAL THERAPY & SPORTS REHAB LLC

Practice address

28 E Indiana Ave
Spokane, WA 99207-2314

Phone

(509) 323-1494

Fax

(509) 323-1503

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Amy Brozik

Title

Business Manager

Phone

(509) 323-1494

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Nancy Lorraine Black, PT

  • Physical Therapist
  • Spokane, WA
  • NPI 1992870869
  NPD (past)
• Nancy Jean Perkins, P.T.

  • Physical Therapist
  • Spokane, WA
  • NPI 1396717518
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720050958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E INDIANA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072314",
            "telephone_number": "509-323-1494",
            "fax_number": "509-323-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E INDIANA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072314",
            "telephone_number": "509-323-1494",
            "fax_number": "509-323-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC CITY PHYSICAL THERAPY & SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROZIK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-323-1494"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7097207",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Likes
• Lilac City Behavioral Services, PLLC (Lilac City Behavioral)
• Lilac City Counseling, PLLC
• Lilac City Medical Transport LLC
• Lilac City Neuropsychology PLLC
• Lilac City Psychiatry, LLC (Lilac City Psychiatry)
• Lilac City Therapy
• Lilac Counseling Services, LLC
• Lilac Speech and Language PLLC
• Lilac Speech and Language PLLC (Lilac Speech and Language)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.