William Hall
Individual provider Active NPI Physical Therapy Assistant · Pope, MS
NPI 1316320328 · NPPES record last updated Jul 8, 2015
Key facts
- NPI
- 1316320328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 7903 Pope Water Valley Rd
Pope, MS 38658-2727 - Phone
- (901) 238-9616
- NPI assigned
- Jul 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
7903 Pope Water Valley Rd
Pope, MS 38658-2727
Mailing address
1755 Wittington PL Ste 175
Dallas, TX 75234-1905
Other providers in Pope, MS
All providers in Pope, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.