MEDICARE: MORGAN HILTBRAND

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	225X00000X	Occupational Therapist	0119010529	NY
2	225X00000X	Occupational Therapist	18242	NC

General Provider Information

NPI Number	:	1134925928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN HILTBRAND

Provider Business Mailing Address
First Line	:	954 STATE ROUTE 11A
Second Line	:
City	:	TULLY
State	:	NY
Zip	:	13159-2426
Country	:	US
Telephone Number	:	315-741-0945
Fax Number	:

Provider Business Practice Location Address
First Line	:	954 STATE ROUTE 11A
Second Line	:
City	:	TULLY
State	:	NY
Zip	:	13159-2426
Country	:	US
Telephone Number	:	315-741-0945
Fax Number	:

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

Provider Enumeration Date	:	02/21/2025
Last Update Date	:	01/16/2026

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Directions to “ MORGAN HILTBRAND ” Practice Location

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