Provider Demographics
NPI:1205873932
Name:HILTY, REBECCA LYN (PT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYN
Last Name:HILTY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LYN
Other - Last Name:DYSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:525 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1619
Mailing Address - Country:US
Mailing Address - Phone:330-836-9023
Mailing Address - Fax:330-836-9805
Practice Address - Street 1:750 WHITE POND DR
Practice Address - Street 2:SUITE 500
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1128
Practice Address - Country:US
Practice Address - Phone:330-836-9023
Practice Address - Fax:330-836-9805
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 005933225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDY4158161Medicare ID - Type Unspecified