Individual provider Active NPI

Kathleen Mae Hall, DPT

  • Physical Therapist
  • Oswego, NY
National Provider Identifier
1770917619
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
036475 Issued in NY
Practice address
140 W 6TH St Ste 140
Oswego, NY 13126-2554
Phone
(315) 349-5558
Fax
(315) 349-5652
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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 036475 NY Primary

Addresses

Primary practice location

140 W 6TH St Ste 140
Oswego, NY 13126-2554

Mailing address

159 W 1St St
Oswego, NY 13126-2045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630002049 VA Practitioner - Physical Therapist in Private Practice 7810398377 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Plus Charlottesville, Inc.Group PAC ID 8224295415, 2 clinicians
PT Plus Health, LLCGroup PAC ID 7911094677, 5 clinicians

Practice addresses (Care Compare)

1924 Arlington Blvd
Suite 100
Charlottesville, VA 22903-1594
Phone (434) 984-0303

5690 Three Notched Rd
Suite 107
Crozet, VA 22932-3173
Phone (434) 823-7628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Plus Health, LLC Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients
PT Plus of Lovingston, LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
PT Plus Charlottesville, Inc. Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
PT Plus at Old Trail, LLC Physical Therapist Past Accepting new patients
Oswego Hospital Past Accepting new patients

Locations

1924 Arlington Blvd
Ste 100
Charlottesvle, VA 22903
Phone (434) 202-8339

5690 Three Notch D Rd
Ste 107
Crozet, VA 22932
Phone (434) 823-7613

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1770917619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 W 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 6TH ST STE 140",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262554",
            "telephone_number": "315-349-5558",
            "fax_number": "315-349-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KATHLEEN",
        "middle_name": "MAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.