Provider Demographics
NPI:1194601468
Name:HILTON, HARTLEY (DPT, PT)
Entity type:Individual
Prefix:
First Name:HARTLEY
Middle Name:
Last Name:HILTON
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 WYNDALE RD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-4720
Mailing Address - Country:US
Mailing Address - Phone:276-274-0937
Mailing Address - Fax:
Practice Address - Street 1:272 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:VA
Practice Address - Zip Code:24266-4666
Practice Address - Country:US
Practice Address - Phone:423-646-3001
Practice Address - Fax:423-646-3001
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305217294225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist