David R Lilly in Johnson City - Physical Therapist
David R Lilly - NPI 1255491668
David R Lilly is a Physical Therapist in Johnson City, Tennessee. David R Lilly practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for David R Lilly is 1255491668. The last update date is 2019-12-17.
David R Lilly's current location address is 2410 Susannah St, Johnson City, Tennessee. You can contact this provider via phone number 4232829011 and fax number 4237220288. The mailing address for David R Lilly is 2410 Susannah St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David R Lilly |
|---|---|
| Address | 2410 Susannah St, Johnson City, Tennessee |
| Phone Number | 4232829011 |
| Fax Number | 4237220288 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1255491668 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2019-12-17 |
Provider Mailing Address Detail
| Address | 2410 Susannah St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376011765 |
| Phone Number | 4232829011 |
| Fax Number | 4237220288 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT0000000936 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3647077 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to David R Lilly?
The David R Lilly has been issued the NPI (National Provider Identifier) 1255491668 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of David R Lilly?
The David R Lilly is physically situated at 2410 Susannah St, in the city of Johnson City, state of TN, with the postal code 376011765.
What is David R Lilly's specialized field of practice, and what is the corresponding taxonomy classification code?
The David R Lilly's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255491668 to David R Lilly?
The Centers for Medicare & Medicaid Services assigned the 1255491668 to David R Lilly on 2006-12-08.
As of what date were the details pertaining to David R Lilly last refreshed?
The information related to the David R Lilly, including its address, specialty, and other relevant details, was last updated on 2019-12-17.