DR. THEODORE ROBERT LILLIE D.C. - NPI 1053650531

Q: What is Theodore Lillie's NPI number?

The NPI number for Theodore Lillie is 1053650531. It was assigned to this individual provider in the NPPES registry on February 4, 2013.

Q: What is Theodore Lillie's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Lillie was last updated on September 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Theodore Robert Lillie D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE ROBERT LILLIE D.C. (NPI 1053650531) is an individual chiropractor in Portland, Oregon, licensed in Oregon (5123) and active in the NPI registry since February 2013. He is a graduate of Northwestern College Of Chiropractic (2011).

NPPES Registry Identity

NPI1053650531

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. THEODORE ROBERT LILLIECredential: D.C.

Location Address2106 NE 47TH AVEPortland, OR 97213-2064

Mailing Address2106 Ne 47th AvePortland, OR 97213-2064 · (503) 282-7581 · Fax (503) 269-5622

Phone(503) 282-7581

Fax(503) 269-5622

Sole ProprietorYes

Medical School CMSNorthwestern College Of ChiropracticGraduated 2011

Enumeration DateFebruary 4, 2013

Last NPPES UpdateSeptember 9, 2022

NPPES CertifiedSeptember 9, 2022

✔ NPI 1053650531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in OR · 5123✔ Licensed in MN · 5605

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2106 NE 47TH AVE, Portland, OR 97213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore Robert Lillie D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002283264

PECOS Enrollment IDI20221101003278

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

397 services40 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PETER MICHAEL OVERVOLD D.C.

Chiropractor