Micah Hall

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007829 Issued in KY

Practice address

102 Williams Rd
Nicholasville, KY 40356-1917

Phone

(859) 881-0333

NPI assigned

Sep 13, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kentucky Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Murray, KY
  • NPI 1942948294

  Physical Therapist

  Medicare reassignment NPD
• Kentucky Orthopedic Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Owensboro, KY
  • NPI 1932874229
  NPD
• Kentucky Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1295477248
  NPD

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1154971927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WILLIAMS RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561917",
            "telephone_number": "859-200-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WILLIAMS RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561917",
            "telephone_number": "859-881-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007829",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "TP2019107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sibel S. Gullo, M.D.
• GW Counseling, LLC
• Ian Hall
• Katina D Hall, APRN
• Lauren Marie Hall, LMT
• Tiffany Marie Hamilton, MSPT
• Courtney Brooke Hammond, LPCC, LCADC
• Emily Magan Hammons, OTR/L
• Nicole M Haney, OTR/L
• Charles J Hardesty, PT

• Physical Therapist in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.

Verify at the official NPI Registry.