Mackenzie Hillman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

09161 Issued in OR

Practice address

1475 SE 100TH Ave
Portland, OR 97216-2537

Phone

(503) 262-6000

NPI assigned

Apr 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429920000000",
    "number": "1922495126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SE 160TH AVE APT KK293",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839616",
            "telephone_number": "360-356-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 SE 100TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162537",
            "telephone_number": "503-262-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLMAN",
        "first_name": "MACKENZIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-25",
        "last_updated": "2015-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "09161",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160548474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Hillis
• Lori Easter Hillis, CRNA, DNP
• Brianna Faye Wilson Hillman
• Daniel Edward Hillman, M.D.
• Latasha Marie Hillman
• Ariel Marie Hills
• Scott Hills, LMT
• Hillsboro Family Acupuncture
• Hillsdale Naturopathic and Wellness Center
• Hillside Psychiatry, LLC

• Physical Therapy Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.