Individual provider Active NPI

Kelly Elisabeth Swenson Hall, PT

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1013296565
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 25608 Issued in FL
Practice address
3915 8TH Ave W
Bradenton, FL 34205-1701
Phone
(941) 747-7741
Fax
(941) 747-1431
NPI assigned
Aug 15, 2011
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 25608 FL Primary

Addresses

Primary practice location

3915 8TH Ave W
Bradenton, FL 34205-1701

Mailing address

3915 8TH Ave W
Bradenton, FL 34205-1701
Phone (941) 747-7741

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

Practice roles

OrganizationSpecialtyStatusNew patients
Well Body Clinic Inc Physical Therapist Past Accepting new patients
Request Physical Therapy Inc Physical Therapist Past Accepting new patients
Medical Arts Rehabilitation Inc Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1013296565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 8TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051701",
            "telephone_number": "941-747-7741",
            "fax_number": "941-747-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 8TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051701",
            "telephone_number": "941-747-7741",
            "fax_number": "941-747-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON HALL",
        "first_name": "KELLY",
        "middle_name": "ELISABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 25608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.