Individual provider Active NPI

Hilary Dean, DPT

  • Physical Therapist
  • Ellicott City, MD
National Provider Identifier
1801565189
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28355 Issued in MD
Practice address
6011 University Blvd Ste 120
Ellicott City, MD 21043-6104
Phone
(410) 203-0391
Fax
(410) 203-2707
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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 28355 MD Primary

Addresses

Primary practice location

6011 University Blvd Ste 120
Ellicott City, MD 21043-6104

Mailing address

6011 University Blvd Ste 120
Ellicott City, MD 21043-6104
Phone (410) 203-0391

Other names 1

  • Hilary Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102002290 MD Practitioner - Physical Therapist in Private Practice 5193113645 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Nov 15, 2021 Accepting new patients
Howard County Physical Therapy Sports Rehabilitation CurrentSince Sep 13, 2021 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Nov 15, 2021 Accepting new patients

Locations

6011 University Blvd
Ste 120
Ellicott City, MD 21043
Phone (410) 203-0391

84 Thomas Johnson Ct
Ste B
Frederick, MD 21702
Phone (301) 662-8541

7101 Guilford Dr
Ste 202
Frederick, MD 21704
Phone (240) 549-5330

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1801565189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 UNIVERSITY BLVD STE 120",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436104",
            "telephone_number": "410-203-0391",
            "fax_number": "410-203-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 UNIVERSITY BLVD STE 120",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436104",
            "telephone_number": "410-203-0391",
            "fax_number": "410-203-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "HILARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILARY",
            "last_name": "MOORE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.