Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryce Corley Lillie, DPT

Individual provider Physical Therapist · NPI 1558248559

Bryce Corley Lillie, DPT is a Physical Therapist in Private Practice in Del Mar, California. Qualified in 2025, 1 year ago. Practices with Bespoke San Diego Physical Therapy PC, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2690 Via De La Valle Ste D160
Del Mar, CA 92014-1991
Phone: (858) 290-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 308461 (CA)

Record details

NPI number1558248559
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bespoke San Diego Physical Therapy Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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