Active NPI
Hallie McNabb
- Physical Therapist
- Lompoc, CA
National Provider Identifier
1740941087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-7654
- Practice address
- 805 E Walnut Ave
Lompoc, CA 93436-7027 - Phone
- (208) 867-5321
- NPI assigned
- Jan 8, 2022
- Last updated
- Jan 8, 2022
- Sex
- Female
- 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 | PT-7654 | ID | Primary |
Addresses
Primary practice location
805 E Walnut Ave
Lompoc, CA 93436-7027
Mailing address
2526 E Brierfield Dr
Eagle, ID 83616-6618
Phone (208) 867-5321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-7654 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy P C | Physical Therapist | Current | Accepting new patients |
| Institute of Physical Therapy and Fitness | Physical Therapist | Past | Accepting new patients |
Locations
809 S Washington Ave
Emmett, ID 83617
Phone (208) 365-5341
678 Southway Ave
Lewiston, ID 83501
Phone (208) 746-1418
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Boise, ID
- NPI 1073551560
-
- Physical Therapist
- Lewiston, ID
- NPI 1043392087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641600000000",
"number": "1740941087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2526 E BRIERFIELD DR",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166618",
"telephone_number": "208-867-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 E WALNUT AVE",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934367027",
"telephone_number": "208-867-5321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNABB",
"first_name": "HALLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-08",
"last_updated": "2022-01-08",
"certification_date": "2022-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-7654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.