Healthcare Provider Details

I. General information

NPI: 1386912582
Provider Name (Legal Business Name): REGINA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25480 POINT LOOKOUT RD STE 200
LEONARDTOWN MD
20650-3801
US

IV. Provider business mailing address

25480 POINT LOOKOUT RD
LEONARDTOWN MD
20650-3801
US

V. Phone/Fax

Practice location:
  • Phone: 240-256-3711
  • Fax:
Mailing address:
  • Phone: 240-256-3711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number10549
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: