Active NPI
Kristine Marie Hall, PT
- Physical Therapist
- Dakota Dunes, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004453
- Practice address
- 871 E Sawgrass TRL
Dakota Dunes, SD 57049-5198 - Phone
- (712) 574-4470
- NPI assigned
- Aug 18, 2005
- Last updated
- Sep 8, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1284 | NV | |
| Physical Therapist | 225100000X | 004453 | IA | Primary |
| Physical Therapist | 225100000X | 0986 | SD |
Addresses
Primary practice location
871 E Sawgrass TRL
Dakota Dunes, SD 57049-5198
Mailing address
871 E Sawgrass TRL
Dakota Dunes, SD 57049-5198
Phone (712) 574-4470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100503513 | Medicaid | NV |
Other names 1
- Kristine Marie Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
370 W Anchor Dr
Suite 214
Dakota Dunes, SD 57049-5153
Phone (712) 360-4697
871 E Sawgrass TRL
Dakota Dunes, SD 57049-5198
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004453 | IA | MD | Physical Therapist |
| 1284 | NV | MD | Physical Therapist |
| 0986 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hall Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Chynoweth Hill and Leavitt LLC | Physical Therapist | Past | Accepting new patients |
| For Life Human Performance Inc | Physical Therapist | Past | Accepting new patients |
| Chynoweth Hill and Leavitt LLC | Past | Accepting new patients |
Locations
370 W Anchor Dr
Ste 214
Dakota Dunes, SD 57049
Phone (605) 360-4697
Organizations & group practices 4
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 Therapy Clinic/Center
- Dakota Dunes, SD
- NPI 1386004927
Physical Therapist
-
dba For Life Physical Therapy
- Physical Therapist
- Watertown, SD
- NPI 1578923975
-
dba Kelly Hawkins Physical Therapy Works
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1164415279
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1780303727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1790777431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 E SAWGRASS TRL",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495198",
"telephone_number": "712-574-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 E SAWGRASS TRL",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495198",
"telephone_number": "712-574-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "KRISTINE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1284",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004453",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0986",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503513",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "JONES",
"middle_name": "MARIE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dakota Dunes, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.