Active NPI
Lily Yarbrough Condy, OTR/L
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1740612480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT15704
- Practice address
- 1325 San Marco Blvd
Suite 102
Jacksonville, FL 32207-8568 - Phone
- (904) 858-7045
- Fax
- (904) 858-7047
- NPI assigned
- Aug 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | OT005648 | GA | |
| Occupational Therapist | 225X00000X | OT15704 | FL | Primary |
Addresses
Primary practice location
1325 San Marco Blvd
Suite 102
Jacksonville, FL 32207-8568
Mailing address
1325 San Marco Blvd
Suite 200
Jacksonville, FL 32207-8568
Phone (904) 346-3465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Improvement activities
- 40
- Cost
- 74.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT15704 | FL | MD | Occupational Therapist |
| OT005648 | GA | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Orthopaedic Institute Inc | Occupational Therapist | Current | Accepting new patients |
Locations
1325 San Marco Blvd
Ste 102
Jacksonville, FL 32207
Phone (904) 557-9021
1325 San Marco Blvd
Ste 200
Jacksonville, FL 32207
Phone (904) 346-3465
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1346298023
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1740612480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 SAN MARCO BLVD",
"address_2": "SUITE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078568",
"telephone_number": "904-346-3465",
"fax_number": "904-858-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SAN MARCO BLVD",
"address_2": "SUITE 102",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078568",
"telephone_number": "904-858-7045",
"fax_number": "904-858-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDY",
"first_name": "LILY",
"middle_name": "YARBROUGH",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "GA",
"license": "OT005648",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT15704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.