Michael Hilaire, PT

Key facts

NPI

1205929783

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT008160 (OH)

Practice address

43 S. Main St.
Munroe Falls, OH 44262

Phone

(330) 686-1767

Fax

(330) 686-7854

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205929783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 HAMPTON KNOLL DR.",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44313",
            "telephone_number": "330-686-1767",
            "fax_number": "330-686-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 S. MAIN ST.",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "44262",
            "telephone_number": "330-686-1767",
            "fax_number": "330-686-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILAIRE",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT008160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Munroe Falls, OH · Physical Therapist in Ohio