MEDICARE: KELLY HILTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	298177	CA
2	225100000X	Physical Therapist	298177	CA
3	2251X0800X	Orthopedic Physical Therapist	2305217563	VA

General Provider Information

NPI Number	:	1063046290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY HILTON

Provider Business Mailing Address
First Line	:	11507 SUNSET HILLS RD
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20190-4704
Country	:	US
Telephone Number	:	301-798-4838
Fax Number	:

Provider Business Practice Location Address
First Line	:	11507 SUNSET HILLS RD
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20190-4704
Country	:	US
Telephone Number	:	301-798-4838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2020
Last Update Date	:	05/29/2026

Similar Medicare Providers

1265815096 — COLLEEN HAMMAN PT, DPT, ATC
Practice Location Address:

11507 SUNSET HILLS RD
RESTON, VA
20190-4704

Practice Phone: 301-900-5743
Practice Fax:

1669934527 — DR. SOHEIL CHRISTOPHER RAHBAR DC
Practice Location Address:

11503 SUNSET HILLS RD
RESTON, VA
20190-4704

Practice Phone: 703-723-9355
Practice Fax:

1255972675 — ELITE PERFORMANCE CHIROPRACTIC AND WELLNESS LLC
Practice Location Address:

11503 SUNSET HILLS RD
RESTON, VA
20190-4704

Practice Phone: 703-723-9355
Practice Fax:

1316826860 — ELLA GRACE ROBERTS PT
Practice Location Address:

11507 SUNSET HILLS RD
RESTON, VA
20190-4704

Practice Phone: 301-978-4838
Practice Fax:

1578408001 — LUCAS BOYCE
Practice Location Address:

11507 SUNSET HILLS RD
RESTON, VA
20190-4704

Practice Phone: 301-798-4838
Practice Fax:

1063379543 — JOSEPH YAE-DAM LEE PA-C
Practice Location Address:

1830 TOWN CENTER DR STE 405
RESTON, VA
20190-3218

Practice Phone: 703-481-9191
Practice Fax:

Directions to “ KELLY HILTON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.