Healthcare Provider Details

I. General information

NPI: 1144158023
Provider Name (Legal Business Name): JOSEPH KYLE HILLARD DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 GRAND AVE STE J
SAN MARCOS CA
92078-2448
US

IV. Provider business mailing address

202 CAMINO CORTO
VISTA CA
92083-4905
US

V. Phone/Fax

Practice location:
  • Phone: 760-621-7079
  • Fax: 760-410-5972
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: