Individual provider Active NPI

Brian Kendall Hall, DPT

  • Physical Therapist
  • Ammon, ID
National Provider Identifier
1750107504
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1615 Curlew Dr
Ammon, ID 83406-4718
Phone
(208) 516-1204
Fax
(208) 577-6744
NPI assigned
Nov 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1615 Curlew Dr
Ammon, ID 83406-4718

Mailing address

1615 Curlew Dr
Ammon, ID 83406-4718
Phone (208) 516-1204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204004279 ID Practitioner - Physical Therapist in Private Practice 6608302310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wright Physical Therapy Limited PartnershipGroup PAC ID 1759612641, 52 clinicians

Practice addresses (Care Compare)

1615 Curlew Dr
Ammon, ID 83406-4718
Phone (208) 516-1204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 7, 2024 Accepting new patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 7, 2024 Accepting new patients

Locations

1615 Curlew Dr
Ammon, ID 83406
Phone (208) 516-1204

1411 Falls Ave E
Ste 401
Twin Falls, ID 83301
Phone (208) 969-9945

1444 Falls Ave E
Twin Falls, ID 83301
Phone (208) 736-2574

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1750107504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 CURLEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064718",
            "telephone_number": "208-516-1204",
            "fax_number": "208-577-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 CURLEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064718",
            "telephone_number": "208-516-1204",
            "fax_number": "208-577-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRIAN",
        "middle_name": "KENDALL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.