Active NPI
Roger Hall, P.T.
- Geriatric Physical Therapist
- Towson, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 19852
- Practice address
- 7401 Osler Dr
Suite 110
Towson, MD 21204-7673 - Phone
- (410) 296-8888
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 19852 | MD | Primary |
| Geriatric Physical Therapist | 2251G0304X | 2305203397 | VA |
Addresses
Primary practice location
7401 Osler Dr
Suite 110
Towson, MD 21204-7673
Mailing address
11979 Arlington Mill Rd
Union Bridge, MD 21791-7707
Phone (301) 898-0393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620633-01 | Other | MD | BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
254 Getzville Rd
Buffalo, NY 14226-3542
4 Medical Park Dr
Suite B
Pomona, NY 10970-3539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305203397 | VA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amber Hill Physical Therapy, Inc. | Geriatrics | Current | Accepting new patients |
Locations
9701 New Church St
Ste 3
Damascus, MD 20872
Phone (301) 253-0896
187 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 378-9421
187 Thomas Johnson Dr
Ste 6
Frederick, MD 21702
Phone (301) 663-1157
3500 Campus Dr
Ste 101
Frederick, MD 21704
Phone (301) 473-5945
Organizations & group practices 2
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.
-
dba Stern At Home Therapy
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
- NPI 1720563380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053450734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11979 ARLINGTON MILL RD",
"city": "UNION BRIDGE",
"state": "MD",
"postal_code": "217917707",
"telephone_number": "301-898-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 OSLER DR",
"address_2": "SUITE 110",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047673",
"telephone_number": "410-296-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ROGER",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MD",
"license": "19852",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "VA",
"license": "2305203397",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "620633-01",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.