Individual provider Active NPI

Christopher T Hall, PT

  • Physical Therapist
  • East Syracuse, NY
National Provider Identifier
1104139849
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
032861 Issued in NY
Practice address
314 E 1St St
East Syracuse, NY 13057-2927
Phone
(315) 443-9884
Fax
(315) 410-5554
NPI assigned
Jul 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 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 032861 NY Primary

Addresses

Primary practice location

314 E 1St St
East Syracuse, NY 13057-2927

Mailing address

6319 Fly Rd
Suite 3
East Syracuse, NY 13057-9357
Phone (315) 410-6200

Other identifiers 2

IdentifierTypeStateIssuer
AA0171OtherNYMCR GROUP
AA0172OtherNYMCR GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000002 NY Practitioner - Physical Therapist in Private Practice 0547456378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse Orthopedic Specialists, PLLCGroup PAC ID 6406760073, 115 clinicians

Practice addresses (Care Compare)

415 E 37TH St
Apt 21a
New York, NY 10016-3243
Phone (313) 525-1310

5719 Widewaters Pkwy
Syracuse, NY 13214-1985
Phone (315) 251-3100

5823 Widewaters Pkwy
Suite 3
East Syracuse, NY 13057-3081
Phone (315) 418-4000

8324 Oswego Rd
Liverpool, NY 13090-1086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032861NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Orthopedic Specialists, PLLC CurrentSince Jan 12, 2015 Accepting new patients
Syracuse Orthopedic Specialists, PLLC Past Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients
Championship Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

5823 Widewaters Pkwy
East Syracuse, NY 13057
Phone (315) 426-0190

8324 Oswego Rd
Ste A
Liverpool, NY 13090
Phone (315) 418-4128

5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

4994 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 469-5400

Interoperability endpoints

  • Direct secure messaging: chall@sosbones.medentdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1104139849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 FLY RD",
            "address_2": "SUITE 3",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579357",
            "telephone_number": "315-410-6200",
            "fax_number": "315-451-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E 1ST ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572927",
            "telephone_number": "315-443-9884",
            "fax_number": "315-410-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHRISTOPHER",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR GROUP",
            "identifier": "AA0171",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR GROUP",
            "identifier": "AA0172",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.