Jonah Michael Hallahan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35874 Issued in FL

Practice address

5939 Roosevelt Blvd
Jacksonville, FL 32244-2356

Phone

(561) 201-2065

NPI assigned

Apr 8, 2021

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 FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Integrated Physical Therapy Services of North Florida, LLC

  • Physical Medicine & Rehabilitation Physician
  • Lakewood Ranch, FL
  • NPI 1093183519

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1417536137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 TOUCHTON RD APT 1114",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468293",
            "telephone_number": "561-201-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 ROOSEVELT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322442356",
            "telephone_number": "561-201-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAHAN",
        "first_name": "JONAH",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Jean Hall, PSYCHOLOGIST
• Sommer C Hall, PT
• Tia Iman Sojourner Hall, BEHAVIORAL TECH
• Tiffany Angela Hall
• Hall'S Way Transportation LLC
• Kristina Halleak
• James Alfred Halley, D.O.
• Halliday'S Drugs, Inc.
• Halliday'S Drugs, Inc.
• Lorrie Hallmark, RN

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.

Verify at the official NPI Registry.