Provider Demographics
NPI:1154957983
Name:HILL, JENNIFER BAITY (DPT, PT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BAITY
Last Name:HILL
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:BAITY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, PT
Mailing Address - Street 1:102 WOODLYN DR
Mailing Address - Street 2:
Mailing Address - City:YADKINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27055-6673
Mailing Address - Country:US
Mailing Address - Phone:336-677-1800
Mailing Address - Fax:
Practice Address - Street 1:102 WOODLYN DR
Practice Address - Street 2:
Practice Address - City:YADKINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27055-6673
Practice Address - Country:US
Practice Address - Phone:336-677-1800
Practice Address - Fax:336-677-1802
Is Sole Proprietor?:No
Enumeration Date:2020-03-12
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP19375225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1154957983Medicaid