TAYLOR RAVOYD LILES (PT, DPT) – Physical Therapist, NPI 1699364877

TAYLOR RAVOYD LILES (PT, DPT) is a healthcare provider. based in Eielson afb, Alaska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 174385 (AK). The NPI Number for TAYLOR RAVOYD LILES (PT, DPT) is 1699364877

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR RAVOYD LILES (PT, DPT)
NPI
1699364877
Phone
Not provided
Address
2630 CENTRAL AVE
Enumeration Date
13 January 2021
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074200585
Graduation Year
2020 (6 years ago)
PAC ID
6204225477
Group Practice PAC ID
3173034014
Professional Enrollment ID
I20211109001213
Address ID
AK996698030SO44009HWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,477 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for TAYLOR RAVOYD LILES (PT, DPT)

  • 2630 CENTRAL AVE

    EIELSON AFB, AK 997022301

    Phone:

    Type: Mailing

  • 6601 SOMERBY LN

    MOBILE, AL 366953489

    Phone:

    Type: Mailing

  • 929 MIXON SCHOOL RD

    OZARK, AL 363606160

    Phone: (334) 774-2631

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211109001213IPhysical Therapist In Private PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,37548$0
97140Therapy procedure using manual technique, each 15 minutes46437$0
97162Evaluation for physical therapy, typically 30 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 99702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173034014View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAK

Reviews

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Frequently asked questions

How is TAYLOR RAVOYD LILES (PT, DPT) identified in CMS data?
CMS-hosted NPPES data lists TAYLOR RAVOYD LILES (PT, DPT) with NPI 1699364877.
Can I rely on TAYLOR RAVOYD LILES (PT, DPT) being an active provider?
As of the registry snapshot, TAYLOR RAVOYD LILES (PT, DPT) is marked active.
What healthcare role does TAYLOR RAVOYD LILES (PT, DPT) hold?
Scheduling teams often label TAYLOR RAVOYD LILES (PT, DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for TAYLOR RAVOYD LILES (PT, DPT)?
TAYLOR RAVOYD LILES (PT, DPT)'s geographic hint is Eielson Afb, Alaska in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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