Katylynn Hall

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA25088 Issued in FL

Practice address

2050 40TH Ave
Vero Beach, FL 32960-2467

Phone

(772) 567-0061

NPI assigned

Jul 16, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1720462062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 58TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329666436",
            "telephone_number": "772-713-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 40TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602467",
            "telephone_number": "772-567-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATYLYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "PTA25088",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Orlo Haight, MD
• Jacquelyn Brady Haire, COTA/L CLT
• Brett A Hall, LCSW
• Jonathan C Hall, MD
• Kathleen Marie Hall
• Martha Hall
• Mindy Marie Hall, D.M.D.
• Winona L Hall, LMT
• Carolyn Patricia Hallinan
• Jessica Emily Halpin, RBT

• Physical Therapy Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.