Active NPI
Leola E Hall, MSPT
- Physical Therapist
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT716
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804190200 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT716 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake City Physical Therapy P a | Physical Therapist | Current | Accepting new patients |
| Lake City Physical Therapy P a | Physical Therapist | Current | Accepting new patients |
| Sandpoint Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Lakeland Physical Therapy and Sports Injuries P a | Physical Therapist | Past | Accepting new patients |
| Advanced Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Shellman Inc PA | Physical Therapist | Past | Accepting new patients |
| Pinnacle Physical Therapy and Sports Medicine, Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Sandpoint, ID
- NPI 1558828020
-
- Physical Therapist
- Coeur D Alene, ID
- NPI 1952521411
-
- Physical Therapist
- Spokane, WA
- NPI 1588810659
-
- Physical Therapist
- Coeur D Alene, ID
- NPI 1942277710
-
- Physical Therapist
- Rathdrum, ID
- NPI 1083896674
-
- Physical Therapist
- Post Falls, ID
- NPI 1447383625
-
- Physical Therapist
- Coeur D Alene, ID
- NPI 1326050253
-
- Physical Therapist
- Anchorage, AK
- NPI 1437214459
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.