Lily Marie Tucker, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502006425 Issued in MI

Practice address

2301 W Grand River Ave
Okemos, MI 48864-1648

Phone

(517) 853-6800

NPI assigned

Jun 4, 2021

Sex

Female

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

Practice roles

Locations

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.

• Peak Performance Physical Therapy, PLC

  • Physical Therapist
  • Lansing, MI
  • NPI 1134428642
  NPD
• Ryan and Monica Wohlfert, PC

  • Chiropractor
  • Lansing, MI
  • NPI 1952478125
  NPD

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1982271433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 WESTSHIRE DR STE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W GRAND RIVER AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641648",
            "telephone_number": "517-853-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "LILY",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502006425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Analisa Trumble
• Stacy Trumpie, CCC-SLP
• Sharon D Truss, MA, LLPC
• Judy Tsai, OD
• Bachtrac Tu, DDS
• Noelle Tucker
• Jonathan Tufnell
• Laura Tuma
• Turchan Psychology, PLLC
• Helen A Turkovich, PSYD, DMIN, LPC

• Physical Therapy Assistant in Okemos, MI
• Providers in Okemos, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.