Individual provider Active NPI

Priscilla James Hall, PT

  • Physical Therapist
  • Pflugerville, TX
National Provider Identifier
1417976010
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1147205 Issued in TX
Practice address
1202 FM 685 Ste C3
Pflugerville, TX 78660-2913
Phone
(512) 501-1888
Fax
(512) 428-8189
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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 PT1147205 TX Primary

Addresses

Primary practice location

1202 FM 685 Ste C3
Pflugerville, TX 78660-2913

Mailing address

1202 FM 685 Ste C3
Pflugerville, TX 78660-2913
Phone (512) 501-1888

Other identifiers 1

IdentifierTypeStateIssuer
8T8757OtherTXBCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1147205TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integra Physical Therapy LLC CurrentSince Jan 18, 2012 Accepting new patients
Affiliated Physical Therapy and Rehabilitation Clinic, Inc. Past Accepting new patients
Affiliated Physical Therapy and Rehabilitation Clinic Inc Past Accepting new patients

Locations

1202 FM 685
Ste C3
Pflugerville, TX 78660
Phone (512) 450-1300

Interoperability endpoints

  • Direct secure messaging: priscilla.hall.1@30366.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1417976010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 FM 685 STE C3",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602913",
            "telephone_number": "512-501-1888",
            "fax_number": "512-428-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 FM 685 STE C3",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602913",
            "telephone_number": "512-501-1888",
            "fax_number": "512-428-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "PRISCILLA",
        "middle_name": "JAMES",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "PT1147205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T8757",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.