Preston Brent Hall, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

48009852401 Issued in UT

Practice address

1526 Ute Blvd Ste 102
Park City, UT 84098-7537

Phone

(435) 575-0345

Fax

(435) 575-0346

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountaintop Physical Therapy and Wellness Center, Inc.Group PAC ID 0840247599, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mountaintop Physical Therapy & Wellness Center, Inc.

  • Physical Therapist
  • Park City, UT
  • NPI 1194937425
  Medicare reassignment Care Compare group NPD Authorized official
• Toole & Associates

  • Specialist
  • Coalville, UT
  • NPI 1265602411
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1386747707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1794 OLYMPIC PKWY",
            "address_2": "STE 140",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986389",
            "telephone_number": "435-575-0345",
            "fax_number": "435-575-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 UTE BLVD STE 102",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987537",
            "telephone_number": "435-575-0345",
            "fax_number": "435-575-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "PRESTON",
        "middle_name": "BRENT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "48009852401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Grisoni
• Joshua Gruhl, MD
• Rebecca Louise Guinn, PA-C
• Erin Gurney, PHARMD
• Jonathan Earl Gurney, PHARMD
• Jacob Ryan Hamblin
• John Joseph Hanrahan, M.D.
• Allison Hansen, DPT
• Lauren Hansen, LCMHC, LPC, NCC
• Rebecca Hansen

• Physical Therapist in Park City, UT
• Providers in Park City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.

Verify at the official NPI Registry.