Healthcare Provider Details

I. General information

NPI: 1255022919
Provider Name (Legal Business Name): PIPER JEAN HILLIARD PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3773 OLENTANGY RIVER RD STE 201
COLUMBUS OH
43214-3425
US

IV. Provider business mailing address

1478 MICHIGAN AVE
COLUMBUS OH
43201-2635
US

V. Phone/Fax

Practice location:
  • Phone: 614-407-8645
  • Fax:
Mailing address:
  • Phone: 513-444-5762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT020423
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: