MEDICARE: DR. LILLIAN HEIST PT, DPT

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	208100000X	Physical Medicine & Rehabilitation Physician	PT031669	PA

General Provider Information

NPI Number	:	1902757230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILLIAN HEIST PT, DPT

Provider Business Mailing Address
First Line	:	755 NORMAN DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-3704
Country	:	US
Telephone Number	:	717-273-6706
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 NORMAN DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-3704
Country	:	US
Telephone Number	:	717-273-6706
Fax Number	:

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

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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