Active NPI
Gregory Q Hall, COTA
- Occupational Therapy Assistant
- McAlester, OK
National Provider Identifier
1710461876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1703
- Practice address
- 34 E Madison Ave
McAlester, OK 74501-4636 - Phone
- (405) 488-9914
- NPI assigned
- Sep 24, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1703 | OK | Primary |
Addresses
Primary practice location
34 E Madison Ave
McAlester, OK 74501-4636
Mailing address
34 E Madison Ave
McAlester, OK 74501-4636
Phone (405) 488-9914
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1710461876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 E MADISON AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014636",
"telephone_number": "405-488-9914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 E MADISON AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014636",
"telephone_number": "405-488-9914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "GREGORY",
"middle_name": "Q",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "1703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.