NPIMap

Individual provider Active NPI

Edwin Tyler Hale, PT

  • Physical Therapist
  • Millbrook, AL
National Provider Identifier
1841227543
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH2493 Issued in AL
Practice address
40 Wisteria Place
Millbrook, AL 36054-1849
Phone
(334) 285-0239
Fax
(334) 285-9689
NPI assigned
Jun 27, 2006
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 PTH2493 AL Primary

Addresses

Primary practice location

40 Wisteria Place
Millbrook, AL 36054-1849

Mailing address

40 Wisteria Place
Millbrook, AL 36054-1849
Phone (334) 285-0239

Other identifiers 3

IdentifierTypeStateIssuer
515-30241OtherALBLUE CROSS BLUE SHIELD
051556584MedicaidAL
P00331773OtherALMEDICARE RAILROAD

Other names 1

  • Edwin Tyler Hale Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH2493ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Branches Home Care, LLC Current Accepting new patients
Rehab Associates, LLC Physical Therapist Past Accepting new patients
Tallassee Rehab PC Physical Therapist Past Accepting new patients
Tallassee Rehab Physical Therapist Past Accepting new patients

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1841227543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WISTERIA PLACE",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360541849",
            "telephone_number": "334-285-0239",
            "fax_number": "334-285-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WISTERIA PLACE",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360541849",
            "telephone_number": "334-285-0239",
            "fax_number": "334-285-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "EDWIN",
        "middle_name": "TYLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH2493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515-30241",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051556584",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00331773",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWIN",
            "last_name": "HALE",
            "middle_name": "TYLER",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Millbrook, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.