Active NPI
Jaylen Hiller, PT, DPT
- Physical Therapist
- Huntersville, NC
National Provider Identifier
1225813520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21607
- Practice address
- 10025 Rose Brook LN Apt 303
Huntersville, NC 28078-3387 - Phone
- (229) 292-2497
- NPI assigned
- Aug 28, 2023
- Sex
- Male
- 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 | P21607 | NC | Primary |
Addresses
Primary practice location
10025 Rose Brook LN Apt 303
Huntersville, NC 28078-3387
Mailing address
10025 Rose Brook LN Apt 303
Huntersville, NC 28078-3387
Phone (229) 292-2497
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 |
|---|---|---|---|
| P21607 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Clinic of NC PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1225813520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10025 ROSE BROOK LN APT 303",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280783387",
"telephone_number": "229-292-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10025 ROSE BROOK LN APT 303",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280783387",
"telephone_number": "229-292-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLER",
"first_name": "JAYLEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.