Active NPI
Jane Bagwell Hale, PT
- Physical Therapist
- Mobile, AL
National Provider Identifier
1760576227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH4809
- Practice address
- 3202 Old Shell Road
Mobile, AL 36607 - Phone
- (251) 450-0070
- Fax
- (251) 450-0072
- NPI assigned
- Oct 2, 2006
- Last updated
- Aug 28, 2009
- 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 | PTH4809 | AL | Primary |
Addresses
Primary practice location
3202 Old Shell Road
Mobile, AL 36607
Mailing address
24 Bienville Ave
Mobile, AL 36606-1406
Phone (251) 533-9387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Pacific Medical College, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4850 A Dawes LN E
Mobile, AL 36619-9029
Phone (251) 635-3356
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH4809 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Health | Physical Therapist | Current | Accepting new patients |
| Oates Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Pediatric Physical Therapy, LLC | Past | Accepting new patients |
Locations
4682 Airport Blvd
Ste B
Mobile, AL 36608
Phone (251) 243-2676
Organizations & group practices 3
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.
-
- Pediatric Physical Therapist
- Mobile, AL
- NPI 1801994249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1760576227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BIENVILLE AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366061406",
"telephone_number": "251-533-9387",
"fax_number": "251-450-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 OLD SHELL ROAD",
"city": "MOBILE",
"state": "AL",
"postal_code": "36607",
"telephone_number": "251-450-0070",
"fax_number": "251-450-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "JANE",
"middle_name": "BAGWELL",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH4809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.