Provider Demographics
NPI:1730458563
Name:HILL, AMY (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:18151 195TH PL NE
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98077-8843
Mailing Address - Country:US
Mailing Address - Phone:425-384-0637
Mailing Address - Fax:
Practice Address - Street 1:18151 195TH PL NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98077-8843
Practice Address - Country:US
Practice Address - Phone:425-384-0637
Practice Address - Fax:425-384-0637
Is Sole Proprietor?:No
Enumeration Date:2011-12-23
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11078225100000X
WA60438790225100000X
WAPT60438790225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0328110OtherWA L&I
WA0328118OtherWA L&I
WA0328114OtherWA L&I
WA0328117OtherWA L&I
WA0328115OtherWA L&I
WA0328112OtherWA L&I
WA0328113OtherWA L&I
WA1730458563Medicaid
WA0328107OtherWA L&I
WA0328116OtherWA L&I
WA0328119OtherWA L&I
WA0328118OtherWA L&I