Active NPI
Tommy Hall
- Gerontology Occupational Therapist
- Arlington, WA
National Provider Identifier
1174025571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 2729
- Practice address
- 20909 Olympic PL NE
Arlington, WA 98223-4669 - Phone
- (360) 435-8440
- NPI assigned
- Mar 2, 2018
- 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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 2729 | WA | Primary |
Addresses
Primary practice location
20909 Olympic PL NE
Arlington, WA 98223-4669
Mailing address
21308 State Route 530 NE
Arlington, WA 98223-4503
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2729 | WA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1174025571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21308 STATE ROUTE 530 NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982234503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20909 OLYMPIC PL NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982234669",
"telephone_number": "360-435-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "TOMMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "WA",
"license": "2729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.