Provider Demographics
NPI:1578087698
Name:HILLER, SEAN ALLEN (PT, DPT, CSCS)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:ALLEN
Last Name:HILLER
Suffix:
Gender:M
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 UNIVERSITY BLVD BLDG A
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-4415
Mailing Address - Country:US
Mailing Address - Phone:205-471-4438
Mailing Address - Fax:719-205-4158
Practice Address - Street 1:3918 MONTCLAIR RD STE 101
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-2417
Practice Address - Country:US
Practice Address - Phone:205-471-4438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH8536225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist