Active NPI
John Addison Hildman
- Physical Therapy Assistant
- Sergeant Bluff, IA
National Provider Identifier
1740520618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 004914
- Practice address
- 206 Port Neal Rd
Sergeant Bluff, IA 51054-8098 - Phone
- (712) 943-3837
- NPI assigned
- Feb 28, 2013
- Last updated
- Feb 28, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 004914 | IA | Primary |
Addresses
Primary practice location
206 Port Neal Rd
Sergeant Bluff, IA 51054-8098
Mailing address
304 Bennington CT
Sergeant Bluff, IA 51054-8908
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 |
|---|---|---|---|
| 004914 | IA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1740520618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 BENNINGTON CT",
"city": "SERGEANT BLUFF",
"state": "IA",
"postal_code": "510548908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 PORT NEAL RD",
"city": "SERGEANT BLUFF",
"state": "IA",
"postal_code": "510548098",
"telephone_number": "712-943-3837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDMAN",
"first_name": "JOHN",
"middle_name": "ADDISON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-28",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "004914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sergeant Bluff, IA
- Stephanie Conway, OTR/L
- Lisa Marie Dirksen, OTR/L
- Laura Elizabeth Giese, DDS
- Susan Jane Handke, ARNP
- Hawkeye Clinic of Sergeant Bluff, PC
- Renee L. Husen, D.D.S.
- Stacey A Jackson, PHARMD
- Jiwa Chiropractic & Wellness
- JP Senior Healthcare LLC (Pioneer Valley Living and Rehab Center)
- Kismet Sux LLC (WEL-Home Health Sergeant Bluff)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.