Active NPI
Monica Hall, PT
- Physical Therapist
- Rockford, IL
National Provider Identifier
1144220211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-012703
- Practice address
- 200 Y Blvd
Rockford, IL 61107-3019 - Phone
- (815) 398-9491
- Fax
- (815) 381-7498
- NPI assigned
- Jul 29, 2005
- 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 | 070-012703 | IL | Primary |
Addresses
Primary practice location
200 Y Blvd
Rockford, IL 61107-3019
Mailing address
Box 78534
Milwaukee, IL 53278
Phone (815) 398-9491
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 |
|---|---|---|---|
| 070-012703 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1144220211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 78534",
"city": "MILWAUKEE",
"state": "IL",
"postal_code": "53278",
"telephone_number": "815-398-9491",
"fax_number": "815-381-7498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 Y BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073019",
"telephone_number": "815-398-9491",
"fax_number": "815-381-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MONICA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-012703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.