Hildy Brown, MSPT, DPT
Individual provider Active NPI Physical Therapist · Southold, NY
NPI 1487859484 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1487859484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 017896-1 (NY)
- Practice address
- 46520 County Road 48
Southold, NY 11971-5040 - Phone
- (631) 765-9389
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017896-1 | NY | MD | Physical Therapist |
| 017896 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital at Stony Brook | Past |
Accepting new patients | |
| University Hospital at Stony Brook | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017896-1 | NY | Yes |
Addresses
Primary practice location
46520 County Road 48
Southold, NY 11971-5040
Mailing address
46 Evelyn CT
Manorville, NY 11949-2810
Phone (631) 943-8774
Other providers in Southold, NY
- Christine Coloson Bohach
- Laura Marie Bolliver
- Malynda Boyle
- Michael Lawrence Brody
- Tania Broglia
- Samuel Pearce Brown
- Tyler James Buckley
- William F Buffone
- Lawrence Michael Buono
- Michelle A Bysheim
All providers in Southold, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.