Active NPI
Gwendolyn Hall
- Physical Therapist
- Oxford, NC
National Provider Identifier
1063548634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9129
- Practice address
- 1010 College St
Oxford, NC 27565-2507 - Phone
- (919) 690-3237
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9129 | NC | Primary |
Addresses
Primary practice location
1010 College St
Oxford, NC 27565-2507
Mailing address
PO Box 947
Oxford, NC 27565-0947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079X6 | Other | NC | BLUE CROSS |
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 |
|---|---|---|---|
| 9129 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063548634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947",
"city": "OXFORD",
"state": "NC",
"postal_code": "275650947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 COLLEGE ST",
"city": "OXFORD",
"state": "NC",
"postal_code": "275652507",
"telephone_number": "919-690-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "GWENDOLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "079X6",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxford, NC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.