Individual provider Active NPI

Hillary Kristi Vance, PT, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1003299678
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11597 Issued in AZ
Practice address
20045 N 19TH Ave
Building 8
Phoenix, AZ 85027-4252
Phone
(623) 594-9034
Fax
(623) 594-9868
NPI assigned
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11597 AZ Primary

Addresses

Primary practice location

20045 N 19TH Ave
Building 8
Phoenix, AZ 85027-4252

Mailing address

6320A W Union Hills Dr
Suite 265
Glendale, AZ 85308-7177
Phone (623) 374-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Past Accepting new patients
BHSM Rehabilitation, LLC PastSince Jul 1, 2015 Accepting new patients
T.E.a.M. 4 Kids, LLC PastSince Jul 16, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1003299678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320A W UNION HILLS DR",
            "address_2": "SUITE 265",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087177",
            "telephone_number": "623-374-2424",
            "fax_number": "623-374-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20045 N 19TH AVE",
            "address_2": "BUILDING 8",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274252",
            "telephone_number": "623-594-9034",
            "fax_number": "623-594-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "HILLARY",
        "middle_name": "KRISTI",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.