Active NPI
Robert Clifford Hall, PT
- Physical Therapist
- Longview, TX
National Provider Identifier
1093742835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1057024
- Practice address
- 409 N 6TH St
Longview, TX 75601-6536 - Phone
- (903) 758-2746
- NPI assigned
- Jun 27, 2006
- 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 | 1057024 | TX | Primary |
Addresses
Primary practice location
409 N 6TH St
Longview, TX 75601-6536
Mailing address
323 E Hawkins Pkwy
Ste a
Longview, TX 75605-7905
Phone (903) 758-2746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1057024 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longview Orthopaedic Clinic Association | Current | Accepting new patients |
Locations
409 N 6th St
Longview, TX 75601
Phone (903) 315-5520
323 E Hawkins Pkwy
Ste A
Longview, TX 75605
Phone (903) 758-2746
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Longview, TX
- NPI 1053476259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1093742835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 E HAWKINS PKWY",
"address_2": "STE A",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057905",
"telephone_number": "903-758-2746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 N 6TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756016536",
"telephone_number": "903-758-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ROBERT",
"middle_name": "CLIFFORD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1057024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.