Amy Michelle Halley, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 36604 Issued in CA

Practice address

4601 Dale Rd
Modesto, CA 95356-9718

Phone

(209) 735-4039

NPI assigned

Apr 5, 2010

Last updated

Apr 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Michelle Anglin Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advanced Home Healthcare LLC

  dba Advanced Rehabilitation

  • Physical Therapist
  • Buford, GA
  • NPI 1962155317
  Medicare reassignment NPD
• Rueschhoff Physical Therapy Inc

  dba Heritage Physical Therapy

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1437155314
  NPD (past)

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1053636811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 DALE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569718",
            "telephone_number": "209-735-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 DALE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569718",
            "telephone_number": "209-735-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLEY",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 36604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ANGLIN",
            "middle_name": "MICHELLE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tommie Keith Hall II
• Malissa Hallahan
• Amayah Tiann Hallam
• Nathan Hallam, PA
• Sarah Hallberg, PTA
• Brenna Leann Halliday
• Janice Hallstrom, RN
• Leslie Ann Halseth, PA
• Kirstin Halstead
• Shelley Marie Halstead, N.N.P.

• Physical Therapist in Modesto, CA
• Providers in Modesto, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.