Individual provider Active NPI

Elizabeth Hiller, PT, DPT

  • Physical Therapist
  • Baker City, OR
National Provider Identifier
1659703387
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62890 Issued in OR
Practice address
3950 17TH St Ste B
Baker City, OR 97814-1300
Phone
(541) 523-8888
Fax
(541) 523-8889
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62890 OR Primary

Addresses

Primary practice location

3950 17TH St Ste B
Baker City, OR 97814-1300

Mailing address

3950 17TH St Ste B
Baker City, OR 97814-1300
Phone (541) 523-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210615003468 OR Practitioner - Physical Therapist in Private Practice 3577963321 Reassigns benefits to 1 organization
I20221017000592 DE Practitioner - Physical Therapist in Private Practice 3577963321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62890ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Bachman P T PC Physical Therapist CurrentSince Jun 10, 2021 Accepting new patients
Syracuse Physical Therapy Partners CurrentSince Jun 9, 2024 Accepting new patients
Syracuse Physical Therapy Partners Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients

Locations

26744 John J Williams Hwy
Millsboro, DE 19966
Phone (302) 945-4250

26744 John J Williams Hwy
Unit 6
Millsboro, DE 19966
Phone (302) 945-4250

15 Fallon Ave
Seaford, DE 19973
Phone (302) 536-1774

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

3950 17th St
Ste B
Baker City, OR 97814
Phone (541) 523-8888

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1659703387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 17TH ST STE B",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141300",
            "telephone_number": "541-523-8888",
            "fax_number": "541-523-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 17TH ST STE B",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141300",
            "telephone_number": "541-523-8888",
            "fax_number": "541-523-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLER",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.