LILY CLINIC LLC
NPI 1336030063
Occupational Therapist in Roanoke, VA

Active since July 11, 2025
4419 PHEASANT RIDGE RD STE 101, ROANOKE, VA 24014(267) 474-1169 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lily Clinic Llc NPPES

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

LILY CLINIC LLC (NPI 1336030063), doing business as The Lily Clinic Lls Lymphedema, Vascular Health And Wellness, is a healthcare organization registered as an occupational therapist in Roanoke, Virginia and active in the NPI registry since July 2025. The organization lists Matthew Cash, Occupational Therapist, as its authorized official.

NPPES Registry Identity

NPI1336030063
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameLILY CLINIC LLC
Location Address4419 PHEASANT RIDGE RD STE 101Roanoke, VA 24014-5267
Mailing Address3988 Alleghany DrSalem, VA 24153-1990 · (267) 474-1169
Organization SubpartNo
Authorized OfficialMatthew CashOccupational Therapist · (267) 474-1169
Enumeration DateJuly 11, 2025
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1336030063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
4419 PHEASANT RIDGE RD STE 101, Roanoke, VA 24014

Other Names 1

Doing Business AsThe Lily Clinic Lls Lymphedema, Vascular Health And Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lily Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Occupational Therapist in Private Practice
NPI 1992411128
4419 PHEASANT RIDGE RD STE 101
Roanoke, VA 24014
(267) 474-1169
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1477483162
4419 PHEASANT RIDGE RD STE 101
Roanoke, VA 24014
(540) 200-8412
✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lily Clinic LLC's NPI number?

The NPI number for Lily Clinic LLC is 1336030063. It was assigned to this organization in the NPPES registry on July 11, 2025. The provider is doing business as The Lily Clinic LLS Lymphedema, Vascular Health and Wellness.

Where is Lily Clinic LLC located?

Lily Clinic LLC is located at 4419 Pheasant Ridge Rd Ste 101, Roanoke, VA 24014. The listed phone number is (267) 474-1169.

What is Lily Clinic LLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Lily Clinic LLC enrolled in Medicare?

Yes. Lily Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lily Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Occupational Therapist in Private Practice, reassign their Medicare billing to Lily Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lily Clinic LLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.