Individual provider Active NPI

Joseph Hallock

  • Physical Therapist
  • Grand Forks, ND
National Provider Identifier
1376160440
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2269 Issued in ND
Practice address
2751 2ND Ave N Stop 9013
Grand Forks, ND 58202-9013
Phone
(701) 777-4846
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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 2269 ND Primary

Addresses

Primary practice location

2751 2ND Ave N Stop 9013
Grand Forks, ND 58202-9013

Mailing address

2751 2ND Ave N Stop 9013
Grand Forks, ND 58202-9013
Phone (701) 777-4846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Joseph.v.hallock@ndus.edu Direct

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

LicenseStateTypeSpecialty
2269NDMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: joseph.v.hallock@ndus.edu

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1376160440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 2ND AVE N STOP 9013",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029013",
            "telephone_number": "701-777-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 2ND AVE N STOP 9013",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029013",
            "telephone_number": "701-777-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOCK",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Joseph.v.hallock@ndus.edu",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2751 2nd Ave N Stop 9013",
            "city": "Grand Forks",
            "state": "ND",
            "country_code": "US",
            "postal_code": "582029013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.