Active NPI
Amy Hill, RBT
- Behavior Technician
- Bloomington, IN
National Provider Identifier
1801469622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-113651
- Practice address
- 2010 S Yost Ave
Bloomington, IN 47403-3188 - Phone
- (812) 822-0605
- Fax
- (812) 822-2496
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-113651 | IN | Primary |
Addresses
Primary practice location
2010 S Yost Ave
Bloomington, IN 47403-3188
Mailing address
2010 S Yost Ave
Bloomington, IN 47403-3188
Phone (812) 822-0605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-113651 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amy@kidsplaygym.com | Direct |
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 |
|---|---|---|---|
| RBT-20-113651 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Play Sensory Gym LLC | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1801469622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 S YOST AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033188",
"telephone_number": "812-822-0605",
"fax_number": "812-822-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 S YOST AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033188",
"telephone_number": "812-822-0605",
"fax_number": "812-822-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "AMY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-20-113651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "RBT-20-113651",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amy@kidsplaygym.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2010 S Yost Ave",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474033188",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.