Individual provider Active NPI

Carley Marie Hill

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1104672872
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216403 Issued in VA
Practice address
1577 General Booth Blvd Ste 101B
Virginia Beach, VA 23454-5105
Phone
(757) 742-3778
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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 2305216403 VA Primary

Addresses

Primary practice location

1577 General Booth Blvd Ste 101B
Virginia Beach, VA 23454-5105

Mailing address

1832 Kempsville Rd
Virginia Beach, VA 23464-6861
Phone (757) 742-3778

Other practice location 1

1900 Monticello Ave
Norfolk, VA 23517-2339
Phone (757) 742-3778

Other practice location 2

1832 Kempsville Rd
Virginia Beach, VA 23464-6861
Phone (757) 742-3778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003000957 VA Practitioner - Physical Therapist in Private Practice 6709317548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Direct Performance Physical Therapy, LLC 24 clinicians

Practice addresses (Care Compare)

1832 Kempsville Rd
Virginia Beach, VA 23464-6861
Phone (757) 742-3778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305216403VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Performance Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
DPPT 2, LLC Physical Therapist Past Accepting new patients

Locations

1830 Lindsay Ave
Norfolk, VA 23504

1900 Monticello Ave
Norfolk, VA 23517
Phone (757) 609-0048

1832 Kempsville Rd
Virginia Beach, VA 23464
Phone (757) 278-2573

2247 W Great Neck Rd
Ste 101
Virginia Beach, VA 23451
Phone (757) 589-7585

1577 General Booth Blvd
Ste 101B
Virginia Beach, VA 23454
Phone (757) 632-3819

Organizations & group practices 2

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": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1104672872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 KEMPSVILLE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646861",
            "telephone_number": "757-742-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 GENERAL BOOTH BLVD STE 101B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545105",
            "telephone_number": "757-742-3778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Monticello Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235172339",
            "country_code": "US",
            "telephone_number": "757-742-3778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1832 Kempsville Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234646861",
            "country_code": "US",
            "telephone_number": "757-742-3778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "CARLEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.