Active NPI
David Jon Halland, PT
- Physical Therapist
- Spirit Lake, IA
National Provider Identifier
1073824827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00807
- Practice address
- 2714 Center Lake Dr
Spirit Lake, IA 51360-7268 - Phone
- (712) 320-2722
- NPI assigned
- Jun 27, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00807 | IA | Primary |
Addresses
Primary practice location
2714 Center Lake Dr
Spirit Lake, IA 51360-7268
Mailing address
2714 Center Lake Dr
Spirit Lake, IA 51360-7268
Phone (712) 320-2722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421333616001 | Other | IA | EMPLOYER ID NUMBER |
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 |
|---|---|---|---|
| 00807 | IA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Physical Therapy | Past | Accepting new patients | |
| Great Lakes Physical Therapy, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Spirit Lake, IA
- NPI 1740593599
-
- Speech-Language Pathologist
- Spirit Lake, IA
- NPI 1033407507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277596800000",
"number": "1073824827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2714 CENTER LAKE DR",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513607268",
"telephone_number": "712-320-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2714 CENTER LAKE DR",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513607268",
"telephone_number": "712-320-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLAND",
"first_name": "DAVID",
"middle_name": "JON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-27",
"last_updated": "2010-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "00807",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER ID NUMBER",
"identifier": "421333616001",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spirit Lake, IA
- Great Lakes Physical Therapy, PC
- Patti Ann Griffiths, RPH
- Joey Leigh Gude, LMHC(T)
- Marsha Kay Haar, FNP-C
- David Ray Haisman, OD
- Jason Roger Hamm, D.C.
- Amy Erika Hartzell, DDS
- Brent Haugle, MS, RD, LD
- Hawkeye Care Center of Spirit Lake, LLC (Hawkeye Care Center Spirit Lake)
- Headwaters Integrative Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.