Active NPI
Bradley Hall
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1326426693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2500 S Power Rd Ste 123
Mesa, AZ 85209-6688 - Phone
- (480) 628-7858
- NPI assigned
- May 7, 2015
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
2500 S Power Rd Ste 123
Mesa, AZ 85209-6688
Mailing address
20866 E 213TH St.
Queen Creek, AZ 85142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Physical Therapy PLC | Physical Therapist | Current | Accepting new patients |
Locations
6021 S Kings Ranch Rd
Ste 5
Gold Canyon, AZ 85118
Phone (480) 218-1344
2500 S Power Rd
Ste 123
Mesa, AZ 85209
Phone (480) 218-1344
Organizations & group practices 1
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
- Mesa, AZ
- NPI 1538258991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1326426693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20866 E 213TH ST.",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "85142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S POWER RD STE 123",
"city": "MESA",
"state": "AZ",
"postal_code": "852096688",
"telephone_number": "480-628-7858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "BRADLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-07",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.