Brian Hall

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT18217 Issued in FL

Practice address

6474 Ridge Rd
Port Richey, FL 34668-6748

Phone

(727) 846-0547

Fax

(727) 847-0755

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1417064239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 DURRANCE ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346552181",
            "telephone_number": "727-798-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6474 RIDGE RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686748",
            "telephone_number": "727-846-0547",
            "fax_number": "727-847-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT18217",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "18217",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Owen Guthrie, MS
• Susana Gutierrez Gimenez
• Randall J Guttridge, D.O.
• Randa Hafez-Lux, ITDS
• Anitra Hall-Jeter, LPN
• Charles Franklin Halley, DC
• Linda Elaine Harper Gorski, PH.D.
• Amel Hassan
• Amanda Marie Hasty, DPM
• Hcare LLC

• Physical Therapist in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.