Individual provider Active NPI

Jill V Lott, P. T.

  • Physical Therapist
  • Daphne, AL
National Provider Identifier
1760598098
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3828 Issued in AL
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51503483OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061003000384 AL Practitioner - Physical Therapist in Private Practice 7012912637 Reassigns benefits to 1 organization
I20250129002125 FL Practitioner - Physical Therapist in Private Practice 7012912637 Reassigns benefits to 1 organization

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
DKB Health LLC Fyzical Therapy and Balance CenterGroup PAC ID 6709259351, 4 clinicians

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

LicenseStateTypeSpecialty
PTH3828ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DKB Health LLC Fyzical Therapy and Balance Center Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
Specialized Therapy Services, Inc. Physical Therapist CurrentSince Sep 8, 2015 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.

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.

Verify at the official NPI Registry.