Active NPI
Dustin Hall, PT
- Physical Therapist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8036
- Practice address
- 9411 S Northshore Dr Ste 101
Knoxville, TN 37922-8820 - Phone
- (865) 766-2796
- NPI assigned
- May 13, 2020
- Last updated
- Feb 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT8036 | TN | Primary |
Addresses
Primary practice location
9411 S Northshore Dr Ste 101
Knoxville, TN 37922-8820
Mailing address
202 Sherwood Dr
Maryville, TN 37801-4621
Phone (865) 724-4542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical College of Georgia School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4108 Asheville Hwy
Knoxville, TN 37914-3505
Phone (865) 724-4542
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT8036 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Plus | Current | Accepting new patients | |
| Therapy Plus LLC | Current | Accepting new patients | |
| Cryostretch LLC | Current | Accepting new patients |
Locations
4108 Asheville Hwy
Knoxville, TN 37914
Phone (865) 522-3737
9411 S Northshore Dr
Ste 101
Knoxville, TN 37922
Phone (865) 724-4542
Organizations & group practices 3
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
- Knoxville, TN
- NPI 1033737689
-
- Physical Therapy Clinic/Center
- Knoxville, TN
- NPI 1457977621
-
- Physical Therapy Clinic/Center
- Seymour, TN
- NPI 1003014598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1861014748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 SHERWOOD DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014621",
"telephone_number": "865-724-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9411 S NORTHSHORE DR STE 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379228820",
"telephone_number": "865-766-2796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "DUSTIN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-13",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT8036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.