Lonnie Liles, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA12434 Issued in FL

Practice address

8075 Delaroche Dr
Jacksonville, FL 32210

Phone

(352) 281-3834

NPI assigned

Feb 15, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1821338633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 DELAROCHE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102408",
            "telephone_number": "352-281-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 DELAROCHE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "352-281-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "LONNIE",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D'Shantis Ray'Ana Lightsey
• Alison Montgomery Ligmanowski, MPT
• Michael Andrew Ligmanowski, ATC
• Dritan Likollari, APRN
• Lil' Mama'S Total Care Service
• Tiffany Liles, APRN
• Darnesha J Lillard, LPN
• Michala Ray-Lynn Lillard
• Joseph T Lillia
• Lilliam Rivera

• Occupational Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.