Healthcare Provider Details

I. General information

NPI: 1871464867
Provider Name (Legal Business Name): HILLTOP THERAPY GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/28/2025
Certification Date: 09/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 STRAFFORD AVE
WAYNE PA
19087-3317
US

IV. Provider business mailing address

175 STRAFFORD AVE
WAYNE PA
19087-3317
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MORGAN BUCKWALTER
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCSW-C
Phone: 999-999-9999