Gary Wade Hill, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2047 Issued in AR

Practice address

402 W College Ave
Berryville, AR 72616-3142

Phone

(870) 423-3316

Fax

(870) 423-3177

NPI assigned

Jan 20, 2006

Last updated

May 3, 2013By 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 5

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kings River Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Berryville, AR
  • NPI 1245431964
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1235119694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W COLLEGE AVE.",
            "address_2": "SUITE B",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726163142",
            "telephone_number": "870-423-3316",
            "fax_number": "870-423-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W COLLEGE AVE",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726163142",
            "telephone_number": "870-423-3316",
            "fax_number": "870-423-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "GARY",
        "middle_name": "WADE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR & INDUSTRY",
            "identifier": "0197288",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDA",
            "identifier": "608639900",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "5Y014",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154774721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "729459559",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthy Life Chiropractic Inc
• Rebekah Hearn, PHARMD
• Kayla Elizabeth Heinitz
• Ginny Dawn Herman, LPC
• Sheyli Y. Hernandez Vasquez
• Home Town Health Care Inc
• Julia Horton-Bertrand, M.D.
• Alyissa Horton
• Charles Moss Horton, MD
• Charles R. Horton, MD

• Physical Therapist in Berryville, AR
• Providers in Berryville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.