Sara Jane Hall, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24342 Issued in MD

Practice address

5 Garrett Avenue
Laplata, MD 20646

Phone

(301) 609-4890

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Civista Medical Center Inc

  • Rural Acute Care Hospital
  • La Plata, MD
  • NPI 1992701825

  MD

  Medicare reassignment NPD
• Civista Medical Center, Inc.

  • Clinical Medical Laboratory
  • La Plata, MD
  • NPI 1801461926
  NPD

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811411069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GARRETT AVE",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465960",
            "telephone_number": "301-609-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GARRETT AVENUE",
            "city": "LAPLATA",
            "state": "MD",
            "postal_code": "20646",
            "telephone_number": "301-609-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SARA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Hertz and Idol DPM, PA
• DRS. Hertz and Idol,DPM
• Deborah Eddins
• Laurie D Gamble, LCSW-C
• Yuh-Jen Guo, LCPC
• Godfrey T Hewitt, DDS
• Jeffrey Lee Idol, D.P.M.
• Benjamin Larry Jenkins Jr., M.D.
• Opal Jones, LCPC
• Mindy Krupp, LCSW-C

• All providers in Laplata, MD
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.