Active NPI
Willis Hall, PT, DPT
- Physical Therapist
- Alpharetta, GA
National Provider Identifier
1568522597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- GA004030
- Practice address
- 12850 Highway 9 N Ste 1050
Alpharetta, GA 30004-4669 - Phone
- (678) 332-5800
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | GA004030 | GA | Primary |
Addresses
Primary practice location
12850 Highway 9 N Ste 1050
Alpharetta, GA 30004-4669
Mailing address
PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA004030 | Other | GA | STATE LISC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA004030 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1568522597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306393",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306393",
"telephone_number": "615-373-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12850 HIGHWAY 9 N STE 1050",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300044669",
"telephone_number": "678-332-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "WILLIS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "GA004030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISC NUMBER",
"identifier": "GA004030",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.