Julie Diane Hall

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

115874 Issued in MO

Practice address

600 NE Meadowview Dr
Lees Summit, MO 64064-1983

Phone

(816) 554-9866

Fax

(816) 347-1205

NPI assigned

Jun 20, 2014

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 names 1

• Miss Julie Diane Sutton Former name

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": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1790199495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NE MEADOWVIEW DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641983",
            "telephone_number": "819-554-9866",
            "fax_number": "816-347-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE MEADOWVIEW DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641983",
            "telephone_number": "816-554-9866",
            "fax_number": "816-347-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JULIE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "115874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SUTTON",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "credential": "P.T.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Usman Haleem, M.D.
• Brittany Haley, RBT
• Herbert E Hall III, D.O.
• Jean Camille Hall, PH.D.
• Jessica Lynn Hall
• Marsha Schenelle Hall
• Tiffany D Hall, LPC
• Tonya Hall
• Valerie Bailey Hamaker, LPC
• Sarah E Hamilton, PA-C

• Physical Therapy Assistant in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.