Active NPI
Elizabeth Ann Dillman, MPT
- Physical Therapist
- Lawrenceburg, IN
National Provider Identifier
1821299793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05006717A
- Practice address
- 600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751 - Phone
- (812) 537-8144
- Fax
- (812) 539-3607
- NPI assigned
- May 30, 2007
- 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 | 05006717A | IN | Primary |
Addresses
Primary practice location
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Mailing address
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (812) 527-8144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200714470A | Medicaid | IN |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1821299793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 WILSON CREEK RD",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470252751",
"telephone_number": "812-527-8144",
"fax_number": "812-539-3607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WILSON CREEK RD",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470252751",
"telephone_number": "812-537-8144",
"fax_number": "812-539-3607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLMAN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05006717A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200714470A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.