Mark T Hillesheim, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3372 Issued in WI

Practice address

3130 Shore Dr
Marinette, WI 54143-4291

Phone

(715) 735-4609

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174657050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5476 MICHAELS DR",
            "address_2": "#6",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138663",
            "telephone_number": "920-730-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434291",
            "telephone_number": "715-735-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLESHEIM",
        "first_name": "MARK",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40137800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Jay Herrild, CRNA
• Nicolas Herrild, DC
• HHA of Wisconsin, LLC (Almost Family)
• Mary Hiebel
• Rebecca L Hilden, PHYSICAL THERAPIST
• Sarah Hilz
• Nicole A Hiniker, MD
• Kari Hoheneder
• Amy Beth Hoida, RN
• Michelle Ann Holdorf, OTR

• Physical Therapist in Marinette, WI
• Providers in Marinette, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.