Andrew J Lilles, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26897 Issued in CA

Practice address

615 4TH St
Clovis, CA 93612-1124

Phone

(559) 322-5345

Fax

(559) 322-5041

NPI assigned

Mar 13, 2007

Last updated

Aug 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• McGuire Physical Therapy, Inc.

  • Sports Physical Therapist
  • Fresno, CA
  • NPI 1699860353
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1942333901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 BURLINGAME AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116816",
            "telephone_number": "559-355-8431",
            "fax_number": "559-355-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 4TH ST",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121124",
            "telephone_number": "559-322-5345",
            "fax_number": "559-322-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLES",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26897",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT26897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perla Leyva
• Eric Chen Li, M.D.
• Li Li, M.D.
• Daniel Anthony Licona
• Marietta Formoso Light, NP-C
• Joyce Lin
• Li T. Lin
• Rose Marie Ann Lindbeck, R. N.
• Lindsay Dietetic Services Incorporated
• Cristen Lindsay, RDN

• Physical Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.