Provider Demographics
NPI:1427159680
Name:HILLE, SUSAN E (PT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:HILLE
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 1:1 ROBERTSON DR
Mailing Address - Street 2:SOMERSET ORTHOPEDIC ASSOCIATES
Mailing Address - City:BEDMINSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07921
Mailing Address - Country:US
Mailing Address - Phone:908-252-9700
Mailing Address - Fax:908-252-0707
Practice Address - Street 1:1 ROBERTSON DR
Practice Address - Street 2:SOMERSET ORTHOPEDIC ASSOCIATES
Practice Address - City:BEDMINSTER
Practice Address - State:NJ
Practice Address - Zip Code:07921
Practice Address - Country:US
Practice Address - Phone:908-252-9700
Practice Address - Fax:908-252-0707
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA03904225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ081486BMNMedicare PIN