LILIAN HOLM (PT) – Physical Therapist, NPI 1679542476

LILIAN HOLM (PT) is a healthcare provider. based in Evanston, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070008620 (IL). The NPI Number for LILIAN HOLM (PT) is 1679542476

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
LILIAN HOLM (PT)
NPI
1679542476
Phone
(847) 208-8063
Address
1829 LELAND AVE
Enumeration Date
15 March 2006
Last Update Date
31 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472088063
Graduation Year
1994 (32 years ago)
PAC ID
2860407624
Professional Enrollment ID
I20060215000363
Address ID
IL602014271EV1570XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for LILIAN HOLM (PT)

  • 1829, Leland Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 602013328

    Phone: (847) 208-8063

    Type: Mailing

  • 1570, Oak Avenue, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    STE 101

    EVANSTON, IL 602014271

    Phone: (847) 208-8063

    Fax: (847) 492-0321

    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: 2006-02-15

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
I20060215000363IPhysical Therapist In Private PracticeILTBD

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 minutes17212$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12112$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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Provider's Procedures

LILIAN HOLM (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes60825
PHYSICAL THERAPYIL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes32226

Reviews

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Frequently asked questions

How do payers reference LILIAN HOLM (PT)?
For LILIAN HOLM (PT), use NPI 1679542476 as the unique 10-digit identifier.
Would LILIAN HOLM (PT) appear as active to a payer?
You can treat LILIAN HOLM (PT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to LILIAN HOLM (PT)?
LILIAN HOLM (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Illinois is LILIAN HOLM (PT) registered?
Use Evanston, Illinois as the headline location for LILIAN HOLM (PT) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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