Laura C Lilac, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

015497 Issued in NY

Practice address

1700 Tibbits Ave
Troy, NY 12180-3726

Phone

(518) 328-5801

Fax

(518) 274-0371

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1982910691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SAGE LN",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128282486",
            "telephone_number": "518-366-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TIBBITS AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803726",
            "telephone_number": "518-328-5801",
            "fax_number": "518-274-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILAC",
        "first_name": "LAURA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015497",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "015497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Levine, D.D.S.
• Mark R Levy, M.D.
• Ashanti Tanesha Lewis, FNP-BC
• David Lewis
• Victoria Lewis, CASAC 2
• Luz-Marina Lilchin
• Britton Limes, MD
• Leticia Lind, CASAC
• Kathleen Gael Lindemann, RD, CDN
• Lindsay Drug Co. Inc

• Pediatric Physical Therapist in Troy, NY
• Providers in Troy, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.