Healthcare Provider Details

I. General information

NPI: 1629449491
Provider Name (Legal Business Name): ELOISA SILVA HILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW
WASHINGTON DC
20060-0002
US

IV. Provider business mailing address

3636 16TH ST NW APT A605
WASHINGTON DC
20010-1107
US

V. Phone/Fax

Practice location:
  • Phone: 786-587-2259
  • Fax:
Mailing address:
  • Phone: 786-587-2259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number25998
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA000204
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT210002522
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: