Active NPI
Judith Barbara Hall, MSPT
- Physical Therapist
- Pasadena, CA
National Provider Identifier
1073731907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33240
- Practice address
- 1224 Corson St Apt 1
Pasadena, CA 91106-1840 - Phone
- (256) 503-3864
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33240 | CA | Primary |
| Physical Therapist | 225100000X | 5501011981 | MI | |
| Physical Therapist | 225100000X | 05008212A | IN | |
| Physical Therapist | 225100000X | PTH4421 | AL |
Addresses
Primary practice location
1224 Corson St Apt 1
Pasadena, CA 91106-1840
Mailing address
1170 Rosa Ave SE
Palm Bay, FL 32909-2101
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33240 | CA | MD | Marriage & Family Therapist |
| PTH4421 | AL | MD | Physical Therapist |
| 05008212A | IN | MD | Physical Therapist |
| 5501011981 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073731907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 ROSA AVE SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329092101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 CORSON ST APT 1",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061840",
"telephone_number": "256-503-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JUDITH",
"middle_name": "BARBARA",
"name_prefix": "Miss",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33240",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011981",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008212A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH4421",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
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.