Active NPI
Peter Gary Hill, D.C.
- Sports Physician Chiropractor
- Weston, MA
National Provider Identifier
1407852130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1120
- Practice address
- 687 Wellesley St
Weston, MA 02493-1065 - Phone
- (781) 772-2500
- Fax
- (781) 772-2500
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1120 | MA | Primary |
Addresses
Primary practice location
687 Wellesley St
Weston, MA 02493-1065
Mailing address
687 Wellesley St
Weston, MA 02493-1065
Phone (781) 772-2500
Other practice location 1
304 Columbus Ave
Boston, MA 02116-5116
Phone (617) 536-9119
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1605712 | Medicaid | MA | |
| 2081650 | Other | MA | AETNA |
| 35256 | Other | MA | HARVARD PILGRIM |
| Y35786 | Other | MA | BLUE CROSS |
| 716286 | Other | MA | TUFTS |
| P1483913 | Other | MA | OXFORD |
| 4400081 | Other | MA | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060428000104 | MA | Practitioner - Chiropractic | 8820008345 | Practice locations: Weston, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
687 Wellesley St
Weston, MA 02493-1065
Phone (781) 772-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1120 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1407852130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "687 WELLESLEY ST",
"city": "WESTON",
"state": "MA",
"postal_code": "024931065",
"telephone_number": "781-772-2500",
"fax_number": "781-772-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 WELLESLEY ST",
"city": "WESTON",
"state": "MA",
"postal_code": "024931065",
"telephone_number": "781-772-2500",
"fax_number": "781-772-2500"
}
],
"practiceLocations": [
{
"address_1": "304 Columbus Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021165116",
"country_code": "US",
"telephone_number": "617-536-9119",
"fax_number": "617-536-9177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "PETER",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MA",
"license": "1120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1605712",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2081650",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "35256",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Y35786",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "716286",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1483913",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "4400081",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.