Corey Andrew Hall, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25763 Issued in MD

Practice address

1600 W 41St St Ste 300
Baltimore, MD 21211-1504

Phone

(410) 357-1529

NPI assigned

Nov 17, 2015

Reactivated

Jan 9, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corey Hall, LLCGroup PAC ID 8426491564, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Corey Hall, LLC

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1417570532

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1013381839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 ABERDEEN RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868124",
            "telephone_number": "443-564-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 41ST ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111504",
            "telephone_number": "410-357-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Loveton Cir Ste P",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "MD",
            "postal_code": "211529216",
            "country_code": "US",
            "telephone_number": "410-357-1529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "COREY",
        "middle_name": "ANDREW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "deactivation_date": "2023-12-30",
        "reactivation_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "462714ZAVL",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "025024",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "T208 0127",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9561034",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024591 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC",
            "identifier": "310275",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Hall
• Chanae April Hall
• Charles Hall, MSW, LGSW, LCADC
• Cherilyn Chanell Hall, M.D.
• Christine Joan Hall, PA-C
• Desiree Hall, LCSW-C
• Devonte Hall
• Diane M Hall, OT
• Dominique Hall
• Emily Hall, PHARMD

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.