Provider Demographics
NPI:1164491486
Name:HILL, NATHAN BENNETT (PT)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:BENNETT
Last Name:HILL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1994 HYDE DR
Mailing Address - Street 2:APT J
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-7989
Mailing Address - Country:US
Mailing Address - Phone:252-321-7248
Mailing Address - Fax:
Practice Address - Street 1:640 MEDICAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7502
Practice Address - Country:US
Practice Address - Phone:252-758-5000
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8835225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist