Individual provider Active NPI

Elizabeth Hall, PT

  • Physical Therapist
  • Ogden, UT
National Provider Identifier
1457443376
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
109421-2401 Issued in UT
Practice address
5349 S Adams Ave
Suite a
Ogden, UT 84405-4736
Phone
(801) 479-9865
Fax
(801) 479-5846
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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 109421-2401 UT Primary

Addresses

Primary practice location

5349 S Adams Ave
Suite a
Ogden, UT 84405-4736

Mailing address

5349 S Adams Ave
Suite a
Ogden, UT 84405-4736
Phone (801) 479-9865

Other identifiers 2

IdentifierTypeStateIssuer
6500006616OtherUTRAILROAD MEDICARE
870502207001MedicaidUT

Other names 1

  • Elizabeth Ann Hall Professional name

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
109421-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Therapy Inc PastSince Sep 1, 1992 Accepting new patients

Organizations & group practices 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1457443376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 S ADAMS AVE",
            "address_2": "SUITE A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054736",
            "telephone_number": "801-479-9865",
            "fax_number": "801-479-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 S ADAMS AVE",
            "address_2": "SUITE A",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054736",
            "telephone_number": "801-479-9865",
            "fax_number": "801-479-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "109421-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "6500006616",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870502207001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HALL",
            "middle_name": "ANN",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.