Kandance Hillis, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2156622 Issued in TX

Practice address

2760 N Grandview Ave Ste a
Odessa, TX 79762-6953

Phone

(432) 552-7034

Fax

(432) 552-7165

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Optimus Physical Therapy and Orthosport Specialists PLLC

  • Physical Therapist
  • Odessa, TX
  • NPI 1366733172
  NPD
• Joanna Lynn Riley

  • Multi-Specialty Clinic/Center
  • Odessa, TX
  • NPI 1346507209
  NPD (past)

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1447846506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 N GRANDVIEW AVE STE A",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626953",
            "telephone_number": "432-552-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 N GRANDVIEW AVE STE A",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626953",
            "telephone_number": "432-552-7034",
            "fax_number": "432-552-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIS",
        "first_name": "KANDANCE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2156622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Highway 351 PC (Resolution Dental)
• Rachel Hignojos
• George E Hilal, DMD
• Donna Hope Hill, C.R.N.A.
• Ngan Vu Kim Hill, FNP
• Krystal Hillis
• Zakaria Hindi
• Dawson Hinkley
• Sissy Ann Hinojos, P.A.
• Michelle Denise Hinojosa, P.T.A.

• Physical Medicine & Rehabilitation Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.