Active NPI
Mark Adam Hall, P.T., OMT, ATC, CSCS
- Physical Therapist
- Bedford, NH
National Provider Identifier
1184773251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2116
- Practice address
- 82 Palomino LN Ste 501
Bedford, NH 03110-6448 - Phone
- (603) 627-6381
- NPI assigned
- Jan 9, 2007
- Last updated
- Mar 17, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2116 | NH | Primary |
Addresses
Primary practice location
82 Palomino LN Ste 501
Bedford, NH 03110-6448
Mailing address
82 Palomino LN Ste 501
Bedford, NH 03110-6448
Phone (603) 627-6381
Other practice location 1
72 S River Rd Ste 202
Bedford, NH 03110-6759
Phone (603) 668-2300
Other practice location 2
72 S River Rd Ste 202
Bedford, NH 03110-6759
Phone (603) 668-2300
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9406774 | Other | NH | PHCS |
| 0653546 | Other | NH | CIGNA |
| 1101386 | Other | NH | AETNA |
| 5656604 | Other | NH | FIRST HEALTH, HCVM |
| AA37427 | Other | NH | HARVARD PILGRIM |
| 08Y008490NH01 | Other | NH | ANTHEM |
| 30393905 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050815000803 | NH | Practitioner - Physical Therapist in Private Practice | 4284664798 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trainingzone Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Bedford, NH
- NPI 1689723736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1184773251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 PALOMINO LN STE 501",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106448",
"telephone_number": "603-627-6381",
"fax_number": "603-627-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 PALOMINO LN STE 501",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106448",
"telephone_number": "603-627-6381"
}
],
"practiceLocations": [
{
"address_1": "72 S River Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "NH",
"postal_code": "031106759",
"country_code": "US",
"telephone_number": "603-668-2300",
"fax_number": "603-668-2533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "72 S River Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "NH",
"postal_code": "031106759",
"country_code": "US",
"telephone_number": "603-668-2300",
"fax_number": "603-668-2533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "MARK",
"middle_name": "ADAM",
"name_prefix": "Mr.",
"credential": "P.T., OMT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "2116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9406774",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0653546",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1101386",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH, HCVM",
"identifier": "5656604",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA37427",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "08Y008490NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30393905",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.