Derwin Dewayne Hall Jr., PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36673 Issued in FL

Practice address

1903 S Congress Ave Ste 100
Boynton Beach, FL 33426-6553

Phone

(561) 432-0111

NPI assigned

Jun 29, 2020

Last updated

Jul 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  Medicare reassignment Care Compare group NPD
• Moto Associates LLC

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1184369514
  Authorized official Same address or phone
• Mobile Therapy Group LLC

  • Occupational Therapist
  • West Palm Beach, FL
  • NPI 1750919361
  NPD
• Gold Coast Physical Therapy Associates LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • Lake Worth, FL
  • NPI 1114026523

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1235756032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5598 WELLESLEY PARK DR APT 104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336761",
            "telephone_number": "816-924-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S CONGRESS AVE STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266553",
            "telephone_number": "561-432-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 NW Highway 7",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142282",
            "country_code": "US",
            "telephone_number": "816-988-8148",
            "fax_number": "816-988-8149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5598 WELLESLEY PARK DR",
            "address_purpose": "LOCATION",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336777",
            "country_code": "US",
            "telephone_number": "561-432-0111",
            "fax_number": "561-432-1075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "DERWIN",
        "middle_name": "DEWAYNE",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "CP001239T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1328774",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "36673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Hajjar, PA-C
• Paula Fadwah Halaby, ARNP, CNM
• Anjalee Haldane
• Haley a. Newstrom, O.D., P.a.
• Alexandra D. Hall, LCSW
• Rachel L Hall, MAOT
• Shanice Hall
• Diane T Halperin, LCSW
• Beth Michele Halprin, NP
• Hamarnah DDS PLLC

• Physical Therapist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.