Benita Wicker Hall, OT/L, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P11703 Issued in NC

Practice address

1615 Waddell CT
Durham, NC 27703-8332

Phone

(919) 323-1155

Fax

(919) 596-8322

NPI assigned

Apr 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pediatric Therapy Associates

  • Physical Therapist
  • Raleigh, NC
  • NPI 1447310958
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572048000000",
    "number": "1467625699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 WADDELL CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038332",
            "telephone_number": "919-323-1155",
            "fax_number": "919-596-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 WADDELL CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038332",
            "telephone_number": "919-323-1155",
            "fax_number": "919-596-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BENITA",
        "middle_name": "WICKER",
        "credential": "OT/L, PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2019-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6020",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Hale, LCSWA
• Cara Topalian Haleblian, OTR
• Chanda Hall Mitchell, MSW, LCSWA
• Allison Haberstroh Hall, M.D., PH.D.
• Amanda Hall
• Blaine Paxton Hall, PA-C
• Calton Hall Jr., PA-C ATC
• Caroline Alexis Hall, LCMHCA, NCC
• Caroline Grace Hall
• Casie Hall, MS, CRC, LPCA

• Physical Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; 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.