Active NPI
John Hall Jr., PT
- Physical Therapist
- Berwick, PA
National Provider Identifier
1033355136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018887
- Practice address
- 109 W 9TH St
Berwick, PA 18603-3024 - Phone
- (570) 759-0389
- NPI assigned
- Dec 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018887 | PA | Primary |
| Physical Therapist | 225100000X | 040-0003813 | VT |
Addresses
Primary practice location
109 W 9TH St
Berwick, PA 18603-3024
Mailing address
262 8TH St
Northumberland, PA 17857-1408
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018887 | PA | MD | Physical Therapist |
| 040-0003813 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1033355136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 8TH ST",
"city": "NORTHUMBERLAND",
"state": "PA",
"postal_code": "178571408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 9TH ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186033024",
"telephone_number": "570-759-0389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JOHN",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-21",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018887",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040-0003813",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.