LYLLIE C. JOHNSON MS, LAT, ATC – NPI #1437880325
Physical Medicine & Rehabilitation

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

LYLLIE JOHNSON is a physician located in LITHIA, FL. NPPES has assigned the NPI number 1437880325 to LYLLIE JOHNSON on June 21, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081S0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Sports Medicine

The NPI profile was previously updated about 2 years ago on Apr 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LYLLIE JOHNSON below.

NPI Profile for
LYLLIE C. JOHNSON

NPI Number
1437880325
Enumeration Date

(about 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LYLLIE C. JOHNSON
Credentials
MS, LAT, ATC
Primary location
13837 CIRCA CROSSING DR
LITHIA, FL 33547-4382
Phone: (203) 733-6035 Fax:
Mailing address
3384 SUNCOAST PLAINS DR
ODESSA, FL 33556-2935
Phone: (203) 733-6035 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081S0010X
- Physical Medicine & Rehabilitation / Sports Medicine (Primary)
FL 6676
2255A2300X
- Specialist/Technologist / Athletic Trainer
FL 2000051414

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.