Individual provider Active NPI

Enriqueta Anne Hill

  • Physical Therapist
  • Ste Genevieve, MO
National Provider Identifier
1982881009
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2008001947 Issued in MO
Practice address
21964 Highway 32
Sainte Genevieve, MO 63670
Phone
(573) 883-9366
Fax
(573) 883-9377
NPI assigned
Jan 31, 2008
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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 2008001947 MO Primary

Addresses

Primary practice location

21964 Highway 32
Sainte Genevieve, MO 63670

Mailing address

21964 Highway 32
Sainte Genevieve, MO 63670
Phone (573) 883-9366

Other names 1

  • Miss Enriqueta Anne Munoz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200320001600 MO Practitioner - Physical Therapist in Private Practice 7618305830 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid America Rehab, P.C.Group PAC ID 9830236769, 14 clinicians

Practice addresses (Care Compare)

21964 Hwy 32
Ste Genevieve, MO 63670-9190
Phone (573) 883-9366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008001947MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Nov 15, 2024 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Mid America Rehab, P.C. Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

490 US Highway 61
Bloomsdale, MO 63627
Phone (573) 483-5040

3047 William St
Ste 100
Cpe Girardeau, MO 63703
Phone (573) 339-5989

21964 Highway 32
Ste Genevieve, MO 63670
Phone (573) 883-9266

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Organizations & group practices 5

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1982881009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21964 HIGHWAY 32",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "63670",
            "telephone_number": "573-883-9366",
            "fax_number": "573-883-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21964 HIGHWAY 32",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "63670",
            "telephone_number": "573-883-9366",
            "fax_number": "573-883-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ENRIQUETA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2008001947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENRIQUETA",
            "last_name": "MUNOZ",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ste Genevieve, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.