Individual provider Active NPI

Hallie Newsom, PT, DPT

  • Physical Therapist
  • Winnsboro, TX
National Provider Identifier
1053659318
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1215141 Issued in TX
Practice address
209 E Broadway St
Winnsboro, TX 75494-2604
Phone
(903) 342-6300
Fax
(903) 342-6308
NPI assigned
Jan 22, 2013
Last updated
Feb 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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 1215141 TX Primary

Addresses

Primary practice location

209 E Broadway St
Winnsboro, TX 75494-2604

Mailing address

209 E Broadway St
Winnsboro, TX 75494-2604
Phone (903) 342-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140515000921 TX Practitioner - Physical Therapist in Private Practice 8921221136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Physical TherapyGroup PAC ID 8729237904, 8 clinicians

Practice addresses (Care Compare)

1501 Holiday Dr
Sulphur Springs, TX 75482-4707
Phone (903) 335-8727

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
95.18
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Physical Therapy Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients

Locations

1501 Holiday Dr
Sulphur Springs, TX 75482
Phone (903) 335-8727

Organizations & group practices 1

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": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1053659318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E BROADWAY ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754942604",
            "telephone_number": "903-342-6300",
            "fax_number": "903-342-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E BROADWAY ST",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754942604",
            "telephone_number": "903-342-6300",
            "fax_number": "903-342-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "HALLIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1215141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.