MEDICARE: MS. DONNA S LILLEY P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	002347	OH
2	2251P0200X	Pediatric Physical Therapist	002347	OH

General Provider Information

NPI Number	:	1043432248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONNA S LILLEY P.T.

Provider Business Mailing Address
First Line	:	1605 MILES RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-1916
Country	:	US
Telephone Number	:	513-851-5856
Fax Number	:	513-851-5856

Provider Business Practice Location Address
First Line	:	1605 MILES RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-1916
Country	:	US
Telephone Number	:	513-851-5856
Fax Number	:	513-851-5856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	09/11/2025

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