Provider Demographics
NPI:1891874079
Name:HILL, AMY L (MS,PT)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:MS,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12900 STROH RANCH PL UNIT 130
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3490
Mailing Address - Country:US
Mailing Address - Phone:303-929-9109
Mailing Address - Fax:
Practice Address - Street 1:12900 STROH RANCH PL UNIT 130
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3490
Practice Address - Country:US
Practice Address - Phone:303-929-9109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7001225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO6232234OtherGHI
CO353434300OtherWC
COHI665940OtherBCBS
CO494788Medicare ID - Type Unspecified