Individual provider Active NPI

Dawn Hall-Bibb, PT, PH.D.

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1649534868
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006218 Issued in KY
Practice address
2120 Newburg Rd
369 Allen
Louisville, KY 40245
Phone
(502) 272-8288
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 070010179 IL
Physical Therapist 225100000X 006218 KY Primary

Addresses

Primary practice location

2120 Newburg Rd
369 Allen
Louisville, KY 40245

Mailing address

16315 Wyndover Trce
Louisville, KY 40245-3231
Phone (309) 472-2796

Other names 1

  • Dawn Hall Former name

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
070010179ILMDPhysical Therapist
006218KYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1649534868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16315 WYNDOVER TRCE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402453231",
            "telephone_number": "309-472-2796",
            "fax_number": "309-472-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 NEWBURG RD",
            "address_2": "369 ALLEN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40245",
            "telephone_number": "502-272-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-BIBB",
        "first_name": "DAWN",
        "credential": "PT, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010179",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "HALL",
            "credential": "PT, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.