Active NPI
Lillian Jean Moffett, DPT
- Physical Therapist
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1266159
- Practice address
- 616 S Jackson St
Amarillo, TX 79101-2222 - Phone
- (806) 322-2284
- Fax
- (806) 230-1605
- NPI assigned
- Aug 13, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0013503 | CO | |
| Physical Therapist | 225100000X | 1266159 | TX | Primary |
Addresses
Primary practice location
616 S Jackson St
Amarillo, TX 79101-2222
Mailing address
1920 Old Springville Rd
Center Point, AL 35215-5858
Phone (800) 854-4589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0013503 | CO | MD | Physical Therapist |
| 1266159 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Power Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Empower Physical Therapy TX LLC | Physical Therapist | Current | Accepting new patients |
Locations
24014 W Renwick Rd
Ste 206
Plainfield, IL 60544
616 S Jackson St
Amarillo, TX 79101
Phone (806) 322-2284
5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062
8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777
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.
-
- Physical Therapist
- North Richland Hills, TX
- NPI 1588205033
-
- Physical Therapy Clinic/Center
- Amarillo, TX
- NPI 1659994697
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1922474964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 OLD SPRINGVILLE RD",
"city": "CENTER POINT",
"state": "AL",
"postal_code": "352155858",
"telephone_number": "800-854-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 S JACKSON ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791012222",
"telephone_number": "806-322-2284",
"fax_number": "806-230-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFETT",
"first_name": "LILLIAN",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0013503",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1266159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.