Bernadette Wiley Hall, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305207363 Issued in VA

Practice address

320B Charles H Dimmock Pkwy Ste 6
Colonial Heights, VA 23834-2938

Phone

(804) 524-0533

Fax

(804) 524-0133

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Charlottesville, VA
  • NPI 1457806994

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Douglas Avery & Associates, LTD

  • Rehabilitation Clinic/Center
  • Midlothian, VA
  • NPI 1013503721
  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Alexandria Sports, Inc.

  • Rehabilitation Clinic/Center
  • Burke, VA
  • NPI 1285659789
  NPD (past)
• Lehigh Valley Non-Surgical

  • Chiropractor
  • Allentown, PA
  • NPI 1407818123
  NPD (past)
• Rehabclinics Galaxy Inc

  • Physical Therapy Clinic/Center
  • Greenfield, WI
  • NPI 1447250006
  NPD (past)
• Rehabclinics SPT, Inc.

  • Physical Therapy Clinic/Center
  • Chalfont, PA
  • NPI 1952009482
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1508834573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12806 WORSHAM GREEN CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143143",
            "telephone_number": "610-393-1976",
            "fax_number": "804-524-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320B CHARLES H DIMMOCK PKWY STE 6",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342938",
            "telephone_number": "804-524-0533",
            "fax_number": "804-524-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8832 Frankford Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191361313",
            "country_code": "US",
            "telephone_number": "215-338-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "BERNADETTE",
        "middle_name": "WILEY",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audra L Hainer, PHARM.D.
• Shaun Hairston, DC
• Jennifer Lindsey Harless, OTR, CHT
• Patrice Jones Harmon, D.M.D, MSD
• Jordan Driskill Harris, CCC-SLP
• Michele Harris, ED.S
• Jennifer Hartman, LCSW

• Physical Therapist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; 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.