Individual provider Active NPI

Maureen Tarry-Hilts

  • Physical Therapy Assistant
  • Oneonta, NY
National Provider Identifier
1134579121
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
004456-1 Issued in NY
Practice address
1 Foxcare Dr
Oneonta, NY 13820-2099
Phone
(607) 431-5702
Fax
(607) 431-5709
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 004456-1 NY Primary

Addresses

Primary practice location

1 Foxcare Dr
Oneonta, NY 13820-2099

Mailing address

1 Foxcare Dr
Oneonta, NY 13820-2099
Phone (607) 431-5702

Other identifiers 2

IdentifierTypeStateIssuer
00279098MedicaidNY
330085OtherFACILITY MEDICARE #

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004456-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1134579121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FOXCARE DR",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202099",
            "telephone_number": "607-431-5702",
            "fax_number": "607-431-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOXCARE DR",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202099",
            "telephone_number": "607-431-5702",
            "fax_number": "607-431-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRY-HILTS",
        "first_name": "MAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "004456-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00279098",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY MEDICARE #",
            "identifier": "330085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.