Individual provider Active NPI

Leola E Hall, MSPT

  • Physical Therapist
  • Coeur D Alene, ID
National Provider Identifier
1316008220
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT716 Issued in ID
Practice address
2170 W Ironwood Center Dr
Suite B
Coeur D Alene, ID 83814-2606
Phone
(208) 667-1988
Fax
(208) 765-5654
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT716 ID Primary

Addresses

Primary practice location

2170 W Ironwood Center Dr
Suite B
Coeur D Alene, ID 83814-2606

Mailing address

2170 W Ironwood Center Dr
Suite B
Coeur D Alene, ID 83814-2606
Phone (208) 667-1988

Other identifiers 1

IdentifierTypeStateIssuer
804190200MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000294 ID Practitioner - Physical Therapist in Private Practice 1254419369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandpoint Physical Therapy PCGroup PAC ID 0840533006, 6 clinicians

Practice addresses (Care Compare)

1301 N Division Ave
Sandpoint, ID 83864-8268
Phone (208) 265-0610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT716IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Apr 28, 2010 Accepting new patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Apr 28, 2010 Accepting new patients
Sandpoint Physical Therapy PC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Lakeland Physical Therapy and Sports Injuries P a Physical Therapist PastSince Jan 26, 2025 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist Past Accepting new patients
Shellman Inc PA Physical Therapist PastSince Jan 1, 2001 Accepting new patients
Pinnacle Physical Therapy and Sports Medicine, Inc Physical Therapist PastSince Apr 1, 2007 Accepting new patients
Coeur D Alene Physical Therapy and Sports Medicine PA Physical Therapist Past Accepting new patients

Locations

6101 E Highway 54
Unit J
Athol, ID 83801
Phone (208) 265-0610

2170 W Ironwood Center Dr
Ste B
Coeur D Alene, ID 83814
Phone (208) 667-1988

2065 W Riverstone Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-1988

2170 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 667-1988

8238 N Government Way
Hayden, ID 83835
Phone (208) 762-2100

6600 W Commercial Park Ave
Ste D
Rathdrum, ID 83858
Phone (208) 712-3634

1301 N Division Ave
Sandpoint, ID 83864
Phone (208) 263-1345

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1316008220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 W IRONWOOD CENTER DR",
            "address_2": "SUITE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142606",
            "telephone_number": "208-667-1988",
            "fax_number": "208-765-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W IRONWOOD CENTER DR",
            "address_2": "SUITE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142606",
            "telephone_number": "208-667-1988",
            "fax_number": "208-765-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LEOLA",
        "middle_name": "E",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804190200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.