Provider Demographics
NPI:1982816096
Name:HILL, JAMES F (PTA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:HILL
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:F
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PTA
Mailing Address - Street 1:9560 SW 3RD CT
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1146
Mailing Address - Country:US
Mailing Address - Phone:954-441-9411
Mailing Address - Fax:954-322-3159
Practice Address - Street 1:1191 E NEWPORT CENTER DR
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7715
Practice Address - Country:US
Practice Address - Phone:954-379-1066
Practice Address - Fax:877-796-7890
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14699225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14699OtherPTA LICENSE