Individual provider Active NPI

Thomas J Hallett II, PT,DPT,CERT,MDT,CKTP

  • Physical Therapist
  • Toledo, OH
National Provider Identifier
1487734992
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 010498 Issued in OH
Practice address
4210 W Sylvania Ave Ste 102
Toledo, OH 43623-4501
Phone
(419) 559-5591
Fax
(866) 268-5006
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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 PT 010498 OH Primary

Addresses

Primary practice location

4210 W Sylvania Ave Ste 102
Toledo, OH 43623-4501

Mailing address

256 S Gordon Dr
Oak Harbor, OH 43449-1541
Phone (419) 559-5591

Other practice location 1

7337 W Bancroft St
Toledo, OH 43615-3014
Phone (419) 559-5591 ext. 3000

Other practice location 2

27121 Oakmead Dr Ste C
Perrysburg, OH 43551-2672
Phone (419) 559-5591 ext. 5000

Other practice location 3

1722 W Laskey Rd Ste A
Toledo, OH 43613-3500
Phone (419) 559-5591 ext. 1000

Other practice location 4

256 S Gordon Dr
Oak Harbor, OH 43449-1541
Phone (419) 559-5591

Other identifiers 1

IdentifierTypeStateIssuer
2632173MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000208 OH Practitioner - Physical Therapist in Private Practice 5294758785 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Link LLC 27 clinicians

Practice addresses (Care Compare)

250 Townline St
Oak Harbor, OH 43449-1143
Phone (419) 559-5591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 010498OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Wellness Center CurrentSince Aug 1, 2019 Accepting new patients
Toledo Pain Services, PLL CurrentSince Jan 1, 2013 Accepting new patients
PT Link LLC Physical Therapist CurrentSince Apr 1, 2013 Accepting new patients
Toledo Pain Services, PLL CurrentSince Jan 1, 2013 Accepting new patients
Advanced Health Physical Therapist Past Accepting new patients
Sandusky Wellness DME LLC PastSince Feb 28, 2012 Accepting new patients
Brent L. Rubin & Associates Inc PastSince Aug 11, 2019 Accepting new patients
Grady Memorial Hospital PastSince Aug 1, 2019 Accepting new patients

Locations

134 E Findlay St
Carey, OH 43316

1871 W William St
Delaware, OH 43015
Phone (740) 363-4373

122 W Center St
Fostoria, OH 44830
Phone (419) 435-0204

11301 Upper Gilchrist Rd
Ste A
Mount Vernon, OH 43050
Phone (740) 392-1407

846 S Coy Rd
Ste 100
Oregon, OH 43616

27121 Oakmead Dr
Ste C
Perrysburg, OH 43551
Phone (419) 897-6490

1090 W South Boundary St
Ste 600
Perrysburg, OH 43551
Phone (419) 873-8280

1030 Hayes Ave
Sandusky, OH 44870

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

4210 W Sylvania Ave
Ste 102
Toledo, OH 43623
Phone (419) 350-3347

4349 Talmadge Rd
Toledo, OH 43623
Phone (419) 654-8818

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

1722 W Laskey Rd
Ste A
Toledo, OH 43613
Phone 4195595591 ext. 1000

7055 W Central Ave
Toledo, OH 43617

7337 W Bancroft St
Toledo, OH 43615
Phone (419) 841-3477

5151 Monroe St
Ste 104
Toledo, OH 43623

3400 Meijer Dr
Toledo, OH 43617
Phone (419) 531-3500

108 E Main St
Ste B
Woodville, OH 43469
Phone (419) 849-2900

Organizations & group practices 9

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1487734992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 S GORDON DR",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434491541",
            "telephone_number": "419-559-5591",
            "fax_number": "866-268-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W SYLVANIA AVE STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234501",
            "telephone_number": "419-559-5591",
            "fax_number": "866-268-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7337 W Bancroft St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436153014",
            "country_code": "US",
            "telephone_number": "419-559-5591 x3000",
            "fax_number": "866-268-5006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27121 Oakmead Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435512672",
            "country_code": "US",
            "telephone_number": "419-559-5591 x5000",
            "fax_number": "866-268-5006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1722 W Laskey Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436133500",
            "country_code": "US",
            "telephone_number": "419-559-5591 x1000",
            "fax_number": "866-268-5006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "256 S Gordon Dr",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "OH",
            "postal_code": "434491541",
            "country_code": "US",
            "telephone_number": "419-559-5591",
            "fax_number": "866-268-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLETT",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_suffix": "II",
        "credential": "PT,DPT,CERT,MDT,CKTP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 010498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2632173",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.