Individual provider Active NPI

Laura Jean Hillard, PT

  • Specialist
  • Mexico, MO
National Provider Identifier
1417283961
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2009031649 Issued in MO
Practice address
2759 S Clark St
A
Mexico, MO 65265-3720
Phone
(573) 581-1880
Fax
(573) 581-6678
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2009031649 MO Primary

Addresses

Primary practice location

2759 S Clark St
A
Mexico, MO 65265-3720

Mailing address

2759 S Clark St
A
Mexico, MO 65265-3720
Phone (573) 581-1880

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

LicenseStateTypeSpecialty
2009031649MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Missouri Physical Therapy LLC Past Accepting new patients
Missouri Central Physical Therapy, LLC Specialist PastSince Jun 6, 2012 Accepting new patients

Organizations & group practices 2

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1417283961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 S CLARK ST",
            "address_2": "A",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653720",
            "telephone_number": "573-581-1880",
            "fax_number": "573-581-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 S CLARK ST",
            "address_2": "A",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653720",
            "telephone_number": "573-581-1880",
            "fax_number": "573-581-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLARD",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2009031649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.