Active NPI
Paul David Hail Jr., PT
- Physical Therapist
- Durant, OK
National Provider Identifier
1659522977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 171
- Practice address
- 1004 N 19TH Ave
BLDG 4
Durant, OK 74701-3016 - Phone
- (580) 920-2231
- Fax
- (580) 920-2242
- NPI assigned
- Oct 6, 2008
- 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 | 171 | OK | Primary |
Addresses
Primary practice location
1004 N 19TH Ave
BLDG 4
Durant, OK 74701-3016
Mailing address
1004 N 19TH Ave
BLDG 4
Durant, OK 74701-3016
Phone (580) 920-2231
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171 | OK | MD | Radiology Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1659522977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 N 19TH AVE",
"address_2": "BLDG 4",
"city": "DURANT",
"state": "OK",
"postal_code": "747013016",
"telephone_number": "580-920-2231",
"fax_number": "580-920-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 N 19TH AVE",
"address_2": "BLDG 4",
"city": "DURANT",
"state": "OK",
"postal_code": "747013016",
"telephone_number": "580-920-2231",
"fax_number": "580-920-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIL",
"first_name": "PAUL",
"middle_name": "DAVID",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.