Individual provider Active NPI

Justin P Hillman, D.C.

  • Chiropractor
  • Bloomington, IL
National Provider Identifier
1821250911
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010514 Issued in IL
Practice address
2501 E College Ave Ste C
Bloomington, IL 61704-2484
Phone
(309) 661-1155
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010514 IL Primary

Addresses

Primary practice location

2501 E College Ave Ste C
Bloomington, IL 61704-2484

Mailing address

211 Dasher Dr
Heyworth, IL 61745-9686
Phone (309) 840-0839

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000123 IL Practitioner - Chiropractic 4880861665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillman Chiropractic PCGroup PAC ID 8628245404, 5 clinicians

Practice addresses (Care Compare)

127 N Williamsburg Dr
Bloomington, IL 61704-3528

2406 E Washington St
Bloomington, IL 61704-4410
Phone (309) 585-0704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hillman Chiropractic P.C. Chiropractor CurrentSince Oct 18, 2011 Accepting new patients

Locations

2406 E Washington St
Bloomington, IL 61704
Phone (309) 585-0704

2501 E College Ave
Ste C
Bloomington, IL 61704
Phone (309) 661-1155

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1821250911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 DASHER DR",
            "city": "HEYWORTH",
            "state": "IL",
            "postal_code": "617459686",
            "telephone_number": "309-840-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E COLLEGE AVE STE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042484",
            "telephone_number": "309-661-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "JUSTIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.