Individual provider Active NPI

Meagan Louise Lilly, OTR/L

  • Occupational Therapist
  • Marana, AZ
National Provider Identifier
1740617885
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-008341 Issued in AZ
Practice address
5250 W Dove Centre Rd
Marana, AZ 85658-5159
Phone
(520) 232-2483
Fax
(520) 844-7827
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13844 CA
Occupational Therapist 225X00000X OTH-008341 AZ Primary

Addresses

Primary practice location

5250 W Dove Centre Rd
Marana, AZ 85658-5159

Mailing address

9317 W Creosote Rain Dr
Marana, AZ 85653-1010
Phone (858) 472-2789

Other practice location 1

2500 N Rosemont Blvd
Tucson, AZ 85712-2167
Phone (520) 232-2461

Other practice location 2

8151 E Speedway Blvd
Tucson, AZ 85710-3323
Phone (520) 796-8174

Other names 1

  • Meagan Louise Lilly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13844CAMDOptometrist
OTH-008341AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardy and Lukes Physical Therapy, Inc. PastSince Oct 10, 2021 Accepting new patients
K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation Past Accepting new patients

Organizations & group practices 2

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": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1740617885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 W CREOSOTE RAIN DR",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856531010",
            "telephone_number": "858-472-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W DOVE CENTRE RD",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856585159",
            "telephone_number": "520-232-2483",
            "fax_number": "520-844-7827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N Rosemont Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122167",
            "country_code": "US",
            "telephone_number": "520-232-2461",
            "fax_number": "857-504-8642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8151 E Speedway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857103323",
            "country_code": "US",
            "telephone_number": "520-796-8174",
            "fax_number": "617-762-2976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLY",
        "first_name": "MEAGAN",
        "middle_name": "LOUISE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13844",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "LILLY",
            "middle_name": "LOUISE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marana, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.