Active NPI
Betty Hiller, P.T.
- Pediatric Physical Therapist
- Bellmore, NY
National Provider Identifier
1568602332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 015625-1
- Practice address
- 2752 Len Dr
Bellmore, NY 11710-5202 - Phone
- (516) 633-0053
- Fax
- (516) 294-8488
- NPI assigned
- Mar 5, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 015625-1 | NY | Primary |
Addresses
Primary practice location
2752 Len Dr
Bellmore, NY 11710-5202
Mailing address
2752 Len Dr
Bellmore, NY 11710-5202
Phone (516) 633-0053
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015625-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1568602332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2752 LEN DR",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117105202",
"telephone_number": "516-633-0053",
"fax_number": "516-294-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2752 LEN DR",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117105202",
"telephone_number": "516-633-0053",
"fax_number": "516-294-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLER",
"first_name": "BETTY",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "015625-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.