Individual provider Active NPI

Grace Hall, PT

  • Pediatric Physical Therapist
  • Asheville, NC
National Provider Identifier
1003818774
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
4693 Issued in NC
Practice address
1201 Bleachery Blvd
Suite # 201
Asheville, NC 28803-8314
Phone
(828) 277-5763
Fax
(828) 277-5764
NPI assigned
Aug 12, 2005
Last updated
Mar 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 4693 NC Primary

Addresses

Primary practice location

1201 Bleachery Blvd
Suite # 201
Asheville, NC 28803-8314

Mailing address

57 Greenwells Glory Dr
Biltmore Lake, NC 28715-8901
Phone (828) 665-4849

Other identifiers 2

IdentifierTypeStateIssuer
7232360MedicaidNC
10602OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1003818774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 GREENWELLS GLORY DR",
            "city": "BILTMORE LAKE",
            "state": "NC",
            "postal_code": "287158901",
            "telephone_number": "828-665-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BLEACHERY BLVD",
            "address_2": "SUITE # 201",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038314",
            "telephone_number": "828-277-5763",
            "fax_number": "828-277-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "GRACE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "4693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7232360",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10602",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.