DR. HILARY HIGGINS PT, DPT
NPI 1609242437
Physical Therapist in Live Oak, TX

Active since August 16, 2015Accepts Medicare Assignment
7505 N LOOP 1604 E STE 101, LIVE OAK, TX 78233(210) 658-8483 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2023, May 25, 2022 (2 updates tracked since 2022).

About Dr. Hilary Higgins Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HILARY HIGGINS PT, DPT (NPI 1609242437) is an individual physical therapist in Live Oak, Texas, licensed in Texas (1261533) and active in the NPI registry since August 2015. She maintains a secondary practice location in San Antonio and is a graduate of University Of Texas Southwestern Medical School At Dallas (2014).

NPPES Registry Identity

NPI1609242437
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. HILARY HIGGINSCredential: PT, DPT
Location Address7505 N LOOP 1604 E STE 101Live Oak, TX 78233-2799
Mailing Address7505 N Loop 1604 E Ste 101Live Oak, TX 78233-2604 · (210) 590-4000
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2014
Enumeration DateAugust 16, 2015
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1609242437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in TX · 1261533
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 1265133 (TX)
7505 N LOOP 1604 E STE 101, Live Oak, TX 78233

Secondary Practice Location 1

Location 11973 NW Loop 410 Ste 102San Antonio, TX 78213-2250 · Phone (210) 812-3827 · Fax (210) 812-4727

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hilary Higgins Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850601071
PECOS Enrollment IDI20151030000424

Medicare Billing Reassignments

2

Medicare enrollment records show Hilary Higgins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sports Medicine
21 SPURS LN, STE 300
San Antonio, TX 78240
  • Reassigned Medicare billing, Texas enrollment
  • 94 clinicians in this Medicare group
Physical Therapist
1324 COMMON ST, SUITE 307
New Braunfels, TX 78130
  • Reassigned Medicare billing, Texas enrollment
  • 357 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
215 services32 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
133 services24 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
118 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
7505 N LOOP 1604 E STE 101
LIVE OAK, TX 78233
Physical Therapist
7505 N LOOP 1604 E STE 101
LIVE OAK, TX 78233
Physical Therapist
7505 N LOOP 1604 E STE 101
LIVE OAK, TX 78233
Physical Therapist
7505 N LOOP 1604 E STE 101
LIVE OAK, TX 78233
Physical Therapist
7505 N LOOP 1604 E STE 101
LIVE OAK, TX 78233
Physical Therapist
7505 N LOOP 1604 E STE 101
LIVE OAK, TX 78233
Physical Therapist
7505 N LOOP 1604 E STE 101
LIVE OAK, TX 78233
Physical Therapist
7505 N LOOP 1604 E STE 101
LIVE OAK, TX 78233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hilary Higgins's NPI number?

The NPI number for Hilary Higgins is 1609242437. It was assigned to this individual provider in the NPPES registry on August 16, 2015.

Where is Hilary Higgins located?

Hilary Higgins practices at 7505 N Loop 1604 E Ste 101, Live Oak, TX 78233. The listed phone number is (210) 658-8483.

What is Hilary Higgins's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Hilary Higgins enrolled in Medicare?

Yes. Hilary Higgins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hilary Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hilary Higgins reassigns Medicare benefits to 2 organizations: Sports Medicine Associates Of San Antonio, PA (San Antonio, TX) and Texas Physical Therapy Specialists, Inc. (New Braunfels, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hilary Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hilary Higgins accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Hilary Higgins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hilary Higgins was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.