Provider Demographics
NPI:1699367102
Name:LILL, SYDNEY (DPT)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:LILL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 411503
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-1503
Mailing Address - Country:US
Mailing Address - Phone:914-294-4050
Mailing Address - Fax:
Practice Address - Street 1:10 GLOCKER WAY
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-9649
Practice Address - Country:US
Practice Address - Phone:610-323-4300
Practice Address - Fax:610-323-6005
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0292862251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic