Active NPI
Danielle Lee Hall, DPT
- Physical Therapist
- Lexington, KY
National Provider Identifier
1104583889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008451
- Practice address
- 1795 Alysheba Way Ste 5103
Lexington, KY 40509-2473 - Phone
- (859) 309-1766
- NPI assigned
- Nov 17, 2021
- 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 | 008451 | KY | Primary |
Addresses
Primary practice location
1795 Alysheba Way Ste 5103
Lexington, KY 40509-2473
Mailing address
1795 Alysheba Way Ste 5103
Lexington, KY 40509-2473
Phone (859) 309-1766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211208003088 | KY | Practitioner - Physical Therapist in Private Practice | 0143610055 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1795 Alysheba Way
Suite 5103
Lexington, KY 40509-2473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008451 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1104583889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 ALYSHEBA WAY STE 5103",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092473",
"telephone_number": "859-309-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 ALYSHEBA WAY STE 5103",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092473",
"telephone_number": "859-309-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "DANIELLE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "008451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.