MEDICARE: MR. JAMES F HILL PTA

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	225200000X	Physical Therapy Assistant	14699	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14699	OTHER	FL	PTA LICENSE

General Provider Information

NPI Number	:	1982816096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES F HILL PTA

Provider Business Mailing Address
First Line	:	9560 SW 3RD CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-1146
Country	:	US
Telephone Number	:	954-441-9411
Fax Number	:	954-322-3159

Provider Business Practice Location Address
First Line	:	1191 E NEWPORT CENTER DR
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-7715
Country	:	US
Telephone Number	:	954-379-1066
Fax Number	:	877-796-7890

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/08/2007

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