Active NPI
Rebecca Ann Hall, L.M.T
- Contractor
- Macarthur, WV
National Provider Identifier
1336458306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 2001-0739
- Practice address
- 102 Guyan Drive
Macarthur, WV 25873 - Phone
- (304) 573-9817
- NPI assigned
- Sep 24, 2010
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 2001-0739 | WV | Primary |
Addresses
Primary practice location
102 Guyan Drive
Macarthur, WV 25873
Mailing address
PO Box 389
Bolt, WV 25817-0389
Phone (304) 573-9817
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 |
|---|---|---|---|
| 2001-0739 | WV | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunridge Massage Therapy LLC | Contractor | Past | Accepting new patients |
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.
-
- Contractor
- Macarthur, WV
- NPI 1316247331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1336458306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 389",
"city": "BOLT",
"state": "WV",
"postal_code": "258170389",
"telephone_number": "304-573-9817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 GUYAN DRIVE",
"city": "MACARTHUR",
"state": "WV",
"postal_code": "25873",
"telephone_number": "304-573-9817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "L.M.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WV",
"license": "2001-0739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macarthur, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.