Provider Demographics
NPI:1194970046
Name:HILLEBRAND, ANTHONY JOSEPH (DPT)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:HILLEBRAND
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 N US HIGHWAY 31
Mailing Address - Street 2:
Mailing Address - City:WHITELAND
Mailing Address - State:IN
Mailing Address - Zip Code:46184-1545
Mailing Address - Country:US
Mailing Address - Phone:317-854-6433
Mailing Address - Fax:317-854-6443
Practice Address - Street 1:39 N US HIGHWAY 31
Practice Address - Street 2:
Practice Address - City:WHITELAND
Practice Address - State:IN
Practice Address - Zip Code:46184-1545
Practice Address - Country:US
Practice Address - Phone:317-854-6433
Practice Address - Fax:317-854-6443
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0700164052251G0304X
225100000X
IN05013281A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics