Kelly Teresa Hall

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

011261 Issued in NY

Practice address

495 Schutt Road Ext Ste 9
Middletown, NY 10940-3397

Phone

(845) 342-5170

NPI assigned

Jan 5, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1457012189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEADOW LAKE DR # 20B",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109413212",
            "telephone_number": "845-604-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 SCHUTT ROAD EXT STE 9",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109403397",
            "telephone_number": "845-342-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KELLY",
        "middle_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "011261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William A. Haas, PSY.D.
• Christina Hahn, NP
• Teresa Margaret Haines, NP
• Hooman Harvak Hajebian, MD
• Kelli Halahan
• Lauren Nicole Hallenbeck - Carson, MS CCC-SLP
• Kiera Halligan, PA-C
• Luico Hallman III
• Rebecca J. Halpern, MS CCC-SLP
• Danielle Halstein, LCSW

• Physical Therapy Assistant in Middletown, NY
• Providers in Middletown, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.