Individual provider Active NPI

Olivia Hall, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1558043885
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6511 Issued in NV
Practice address
410 S Rampart Blvd Ste 200
Las Vegas, NV 89145-5729
Phone
(859) 317-3825
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2143 NM
Physical Therapist 225100000X 6511 NV Primary

Addresses

Primary practice location

410 S Rampart Blvd Ste 200
Las Vegas, NV 89145-5729

Mailing address

410 S Rampart Blvd Ste 200
Las Vegas, NV 89145-5729
Phone (859) 317-3825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927002917 NV Practitioner - Physical Therapist in Private Practice 5092178277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susan Hoffert P T Professional CorpGroup PAC ID 9436051661, 2 clinicians

Practice addresses (Care Compare)

6655 W Sahara Ave
Suite B108
Las Vegas, NV 89146-0850
Phone (702) 366-9306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6511NVMDPhysical Therapist
2143NMMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 27, 2024 Accepting new patients
Susan Hoffert PT Professional Corp Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Balanced Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients
Physical Therapy by Olivia LLC Physical Therapist PastSince Jan 4, 2026 Accepting new patients
Amber Care Hospice, Inc Past Accepting new patients

Locations

7849 Tramway Blvd NE
Ste A
Albuquerque, NM 87122
Phone (505) 821-3831

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

6655 W Sahara Ave
Ste B108
Las Vegas, NV 89146
Phone (702) 366-9306

Organizations & group practices 5

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": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1558043885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455729",
            "telephone_number": "859-317-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S RAMPART BLVD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455729",
            "telephone_number": "859-317-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "OLIVIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2143",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.