Provider Demographics
NPI:1669572681
Name:ADAMS, HILLARY S (DPT)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:S
Last Name:ADAMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:HILLARY
Other - Middle Name:A
Other - Last Name:SHOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:1153 BURGOYNE AVENUE
Mailing Address - Street 2:
Mailing Address - City:HUDSON FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12839-8206
Mailing Address - Country:US
Mailing Address - Phone:518-747-2121
Mailing Address - Fax:
Practice Address - Street 1:47 VAUGHN RD
Practice Address - Street 2:
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-1219
Practice Address - Country:US
Practice Address - Phone:518-747-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025452-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00752456Medicaid