Active NPI
Karen Hillsley, PT
- Physical Therapist
- Mitchellville, MD
National Provider Identifier
1225495617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25836
- Practice address
- 12158 Central Ave
Mitchellville, MD 20721-1932 - Phone
- (855) 546-0971
- Fax
- (301) 390-3725
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25836 | MD | Primary |
Addresses
Primary practice location
12158 Central Ave
Mitchellville, MD 20721-1932
Mailing address
3835 Parrot Dr
Ellicott City, MD 21042-4910
Phone (410) 924-6220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25836 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1225495617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 PARROT DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210424910",
"telephone_number": "410-924-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12158 CENTRAL AVE",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207211932",
"telephone_number": "855-546-0971",
"fax_number": "301-390-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLSLEY",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mitchellville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.