Individual provider Active NPI

Viron Hale, PT, DPT, ATC,CSCS

  • Physical Therapist
  • Denver, NC
National Provider Identifier
1265930291
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23940 Issued in NC
Practice address
7505 NC 73 Hwy Ste D&E
Denver, NC 28037-9224
Phone
(704) 587-7131
NPI assigned
Jan 24, 2018
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 050616 NY
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X 003338 NY
Physical Therapist 225100000X P23940 NC Primary

Addresses

Primary practice location

7505 NC 73 Hwy Ste D&E
Denver, NC 28037-9224

Mailing address

95 Argyle Ave
Amherst, NY 14226-4202
Phone (716) 430-5106

Other practice location 1

3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999

Other practice location 2

4301 Main St
Amherst, NY 14226-3504
Phone (716) 362-8248

Other practice location 3

5 Limestone Dr Ste 1
Amherst, NY 14221-7178
Phone (716) 282-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231026001888 NY Practitioner - Physical Therapist in Private Practice 4082060124 Reassigns benefits to 1 organization
I20250419000002 NC Practitioner - Physical Therapist in Private Practice 4082060124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

7505 NC 73 Hwy
Suite Dande
Denver, NC 28037
Phone (704) 587-7131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003338NYMDBehavioral Analyst
P23940NCMDPhysical Therapist
050616NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC Multi-Specialty CurrentSince Apr 7, 2025 Accepting new patients
Ivyrehab North Carolina LLC Multi-Specialty CurrentSince Apr 7, 2025 Accepting new patients
Advanced Care Physical Therapy Aquatics and Fitness PC Multi-Specialty CurrentSince Sep 1, 2023 Accepting new patients

Locations

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

7505 NC 73 Hwy
Ste D
Denver, NC 28037
Phone (704) 587-7131

7505 NC 73 Hwy
Ste De
Denver, NC 28037
Phone (704) 587-7131

924 Main St
Niagara Falls, NY 14301

50 Charles Lindbergh Blvd
Ste 103
Uniondale, NY 11553
Phone (516) 294-4590

5 Limestone Dr
Williamsville, NY 14221
Phone (585) 738-2505

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1265930291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARGYLE AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264202",
            "telephone_number": "716-430-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 NC 73 HWY STE D&E",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280379224",
            "telephone_number": "704-587-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3925 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261738",
            "country_code": "US",
            "telephone_number": "716-250-9999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 Main St",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142263504",
            "country_code": "US",
            "telephone_number": "716-362-8248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Limestone Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142217178",
            "country_code": "US",
            "telephone_number": "716-282-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "VIRON",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, ATC,CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050616",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003338",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.