Theresa Hallacy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03660 Issued in KS

Practice address

854 N Socora St
Wichita, KS 67212-3288

Phone

(316) 729-6236

NPI assigned

Oct 23, 2007

Last updated

Oct 23, 2007By the provider in NPPES

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 KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Physical Therapy, PAGroup PAC ID 5193854503, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Physical Therapy, PA

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1699005645

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Via Christi Rehabilitation Hospital, Inc

  dba Via Christi Occupational & Environmental Medicine

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1598001331

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1518156892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 HUNGERFORD AVE",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "670601543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 N SOCORA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123288",
            "telephone_number": "316-729-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLACY",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hall, SLP
• Shannon Renae Hall, ED.S.
• Sung Un E Hall, PA
• Whitney Hall
• Jessica Ann Halla, MD
• Jeffrey Scott Halliwill
• Karley Halpern, DO
• Lindsay D Halstead, LPC
• John B Ham, PAC
• Ali Hamam

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.