Active NPI
Olaywah Lewis Soumahoro Hall
- Physical Therapist
- Killeen, TX
National Provider Identifier
1295604353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1407912
- Practice address
- 3106 S W S Young Dr # A102
Killeen, TX 76542-2000 - Phone
- (254) 628-8391
- NPI assigned
- Nov 5, 2025
- Sex
- Female
- 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 | 1407912 | TX | Primary |
Addresses
Primary practice location
3106 S W S Young Dr # A102
Killeen, TX 76542-2000
Mailing address
902 Tanner Rd
Copperas Cove, TX 76522-4518
Phone (254) 245-0197
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 |
|---|---|---|---|
| 1407912 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1295604353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 TANNER RD",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765224518",
"telephone_number": "254-245-0197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 S W S YOUNG DR # A102",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765422000",
"telephone_number": "254-628-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUMAHORO HALL",
"first_name": "OLAYWAH LEWIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-05",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1407912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.