Individual provider Active NPI

Phillip Bradley Hill, MS, ATC, LAT

  • Specialist
  • Monroe, LA
National Provider Identifier
1437503315
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ATH.200049 Issued in LA
Practice address
600 Forsythe Ave
Monroe, LA 71201-4060
Phone
(318) 323-2237
Fax
(318) 324-0316
NPI assigned
Apr 18, 2016
Last updated
Apr 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ATH.200049 LA Primary

Addresses

Primary practice location

600 Forsythe Ave
Monroe, LA 71201-4060

Mailing address

600 Forsythe Ave
Monroe, LA 71201-4060
Phone (318) 323-2237

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ATH.200049LAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1437503315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014060",
            "telephone_number": "318-323-2237",
            "fax_number": "318-324-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FORSYTHE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014060",
            "telephone_number": "318-323-2237",
            "fax_number": "318-324-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "PHILLIP",
        "middle_name": "BRADLEY",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "ATH.200049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.