Individual provider Active NPI

Zachary Hall, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1649523903
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10002 Issued in AZ
Practice address
2005 W Happy Valley Rd
1701
Phoenix, AZ 85085-2893
Phone
(480) 222-0655
Fax
(480) 222-1457
NPI assigned
Oct 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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 10002 AZ Primary

Addresses

Primary practice location

2005 W Happy Valley Rd
1701
Phoenix, AZ 85085-2893

Mailing address

PO Box 269084
Oklahoma City, OK 73126-9084
Phone (623) 398-8072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027002598 WA Practitioner - Physical Therapist in Private Practice 3678709698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Sports and Spine Physical Therapy PLLCGroup PAC ID 4688119647, 3 clinicians

Practice addresses (Care Compare)

3201 Willamette Dr NE
Suite C
Lacey, WA 98516-1376
Phone (360) 995-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10002AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Sports and Spine Physical Therapy, PLLC Physical Therapist CurrentSince May 21, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Olympia Physical Therapy & Industrial Rehabilitation, Inc. Physical Therapist PastSince Aug 31, 2014 Accepting new patients

Locations

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

3201 Willamette Dr NE
Ste C
Lacey, WA 98516
Phone (360) 455-0100

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085

Organizations & group practices 4

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1649523903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269084",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731269084",
            "telephone_number": "623-398-8072",
            "fax_number": "623-398-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W HAPPY VALLEY RD",
            "address_2": "1701",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852893",
            "telephone_number": "480-222-0655",
            "fax_number": "480-222-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ZACHARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.