Keon Hall

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

020478-1 Issued in NY

Practice address

3036 E Tremont Ave
Bronx, NY 10461-5733

Phone

(718) 823-3190

Fax

(718) 829-6667

NPI assigned

Mar 30, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1174986947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FARNHAM AVE",
            "city": "INDIAN ORCHARD",
            "state": "MA",
            "postal_code": "011511946",
            "telephone_number": "646-851-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615733",
            "telephone_number": "718-823-3190",
            "fax_number": "718-829-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KEON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020478-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecile Elaine Hall, OCCUPATIONAL THERAPY
• Cynthia B Hall
• Dana Hall
• Henry Nelson Hall, D.C.
• Jennifer Hall, CPNP
• Khadaijah Rashea Hall, BS
• Leadeane Venesa Hall, RN
• Loretta Yvonne Hall
• Maggie Hall, CNM
• Marlone Hall

• Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.