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

Lilly Khokhlan

Individual provider Physical Therapist · NPI 1811704729

Lilly Khokhlan is a Physical Therapist in Private Practice in Suwanee, Georgia. Qualified in 2024, 2 years ago. Practices with Back in the Game Physical Therapy, Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

4310 Johns Creek Pkwy
Suwanee, GA 30024-6091
Phone: (770) 495-0610
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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 PT017523 (GA)

Record details

NPI number1811704729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2024
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address1790 Alder Tree Way, Dacula, GA 30019-7929

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Back In The Game Physical Therapy, Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Suwanee