MEDICARE: WILLIAM HEARTSILL PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTH11962	AL

General Provider Information

NPI Number	:	1366286882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM HEARTSILL PT, DPT

Provider Business Mailing Address
First Line	:	200 MONTGOMERY HWY STE 150
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-1898
Country	:	US
Telephone Number	:	205-822-0067
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MONTGOMERY HWY STE 150
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-1898
Country	:	US
Telephone Number	:	205-822-0067
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2024
Last Update Date	:	12/12/2025

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Directions to “ WILLIAM HEARTSILL PT, DPT” Practice Location

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