Individual provider Active NPI

Mark Kevin Hall, PT

  • Physical Therapist
  • Dakota Dunes, SD
National Provider Identifier
1811989452
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1369 Issued in SD
Practice address
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone
(605) 217-2667
Fax
(605) 217-2900
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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 1369 SD Primary

Addresses

Primary practice location

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312

Mailing address

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090826000633 SD Practitioner - Physical Therapist in Private Practice 9638168784 Reassigns benefits to 2 organizations
I20120924000687 IA Practitioner - Physical Therapist in Private Practice 9638168784 Reassigns benefits to 1 organization

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
Hall Physical Therapy LLCGroup PAC ID 1557652021, 2 clinicians
Cnos PCGroup PAC ID 4284548942, 98 clinicians

Practice addresses (Care Compare)

370 W Anchor Dr
Suite 214
Dakota Dunes, SD 57049-5153
Phone (712) 360-4697

5708 Sunnybrook CT
Sioux City, IA 51106-4254
Phone (605) 217-2667

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667

871 E Sawgrass TRL
Dakota Dunes, SD 57049-5198

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1369SDMDChiropractor
1278NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cnos PC CurrentSince Aug 1, 2021 Accepting new patients
Hall Physical Therapy, LLC Physical Therapist CurrentSince May 13, 2016 Accepting new patients
Cnos, PC CurrentSince Aug 1, 2021 Accepting new patients
Lemars Physical Therapy, PLLC Past Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist Past Accepting new patients
Chynoweth Hill and Leavitt LLC Past Accepting new patients
For Life Human Performance Inc Physical Therapist Past Accepting new patients

Locations

5708 Sunnybrook Ct
Sioux City, IA 51106

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692

370 W Anchor Dr
Ste 214
Dakota Dunes, SD 57049
Phone (605) 360-4697

575 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-2615

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1811989452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667",
            "fax_number": "605-217-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667",
            "fax_number": "605-217-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MARK",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 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.

Verify at the official NPI Registry.