Provider Demographics
NPI:1104926278
Name:HILTON, SARAH S (PT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:S
Last Name:HILTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8923 COUNTY ROUTE 75
Mailing Address - Street 2:
Mailing Address - City:PRATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:14873-9673
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8923 COUNTY ROUTE 75
Practice Address - Street 2:
Practice Address - City:PRATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:14873-9673
Practice Address - Country:US
Practice Address - Phone:315-794-2520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27468225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02715539Medicaid
NYQ57701Medicare UPIN
NY02715539Medicaid