Active NPI
Jill V Lott, P. T.
- Physical Therapist
- Daphne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3828
- Practice address
- 8720 Rand Ave
Daphne, AL 36526-9102 - Phone
- (251) 990-9082
- Fax
- (251) 990-3707
- NPI assigned
- Aug 21, 2006
- Last updated
- Apr 16, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3828 | AL | Primary |
Addresses
Primary practice location
8720 Rand Ave
Daphne, AL 36526-9102
Mailing address
2200 US Hwy 98 Suite 4
# 320
Daphne, AL 36526
Phone (251) 990-9082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51503483 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of South Alabama College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4020 Park St N
Suite 101
St Petersburg, FL 33709-4034
Phone (727) 388-4688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH3828 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DKB Health LLC Fyzical Therapy and Balance Center | Physical Therapist | Current | Accepting new patients |
| Specialized Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Alabama Orthopaedic Clinics, PC | Past | Accepting new patients | |
| Coastal Anesthesia, P.C. | Past | Accepting new patients |
Locations
2200 US Highway 98
Ste 4
Daphne, AL 36526
Phone (251) 298-4236
8720 Rand Ave
Daphne, AL 36526
Phone (251) 990-9082
720 Middle St
Fairhope, AL 36532
Phone (251) 990-9082
82 Plantation Pointe
Fairhope, AL 36532
Phone (251) 281-8030
911 Plantation Blvd
Ste A
Fairhope, AL 36532
Phone (251) 263-9255
4020 Park St N
Ste 101
St Petersburg, FL 33709
Phone (727) 388-4688
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Daphne, AL
- NPI 1518339001
-
- Physical Therapy Clinic/Center
- St Petersburg, FL
- NPI 1023736550
Physical Therapist
-
- Specialist
- Mobile, AL
- NPI 1306846654
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1588637169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1760598098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 US HWY 98 SUITE 4",
"address_2": "# 320",
"city": "DAPHNE",
"state": "AL",
"postal_code": "36526",
"telephone_number": "251-990-9082",
"fax_number": "251-990-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8720 RAND AVE",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365269102",
"telephone_number": "251-990-9082",
"fax_number": "251-990-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "JILL",
"middle_name": "V",
"credential": "P. T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51503483",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.