Alyssa K Hill, DPT

Individual provider Active NPI Physical Therapist · O Fallon, IL

NPI 1629311758 · NPPES record last updated Mar 27, 2013

Key facts

NPI
1629311758
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070.019733 (IL)
Practice address
634 N Main St Ste 3
O Fallon, IL 62269-3746
Phone
(618) 632-4222
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
070.019733ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Pediatric Therapy, LLC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.019733 IL Yes

Addresses

Primary practice location

634 N Main St Ste 3
O Fallon, IL 62269-3746

Mailing address

449 Tailfeather Dr
Belleville, IL 62221-5119

Other providers in O Fallon, IL

All providers in O Fallon, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.